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| 題 名 | 綠膿桿菌性角膜感染之視力重建--病例報告=Visual Rehabilitation in Pseudomonas Aeruginosa Keratitis--Two Cases Report |
|---|---|
| 作 者 | 葉啟清; 江元弘; 蔡武甫; | 書刊名 | 中華民國眼科醫學會雜誌 |
| 卷 期 | 38:2 1999.06[民88.06] |
| 頁 次 | 頁302-307 |
| 分類號 | 416.711 |
| 關鍵詞 | 綠膿桿菌性角膜; Pseudomonas aeruginosa keratitis; Phototherapeutic keratectomy; PTK; Cataradt extraction; Clear lens extraction; CLE; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 感染性角膜潰瘍常導致遮蔽性疤痕及不規則性散光,通常需要角膜移植來重建 視力。本篇報告兩例戴隱形眼鏡引起綠膿桿菌性角膜感染,分別經由水晶體摘除術及準分 子雷射角膜切除手術來改善其視力。病例一為18歲女性病患,於感染後遺留6mm直徑之輕 度疤痕,中心角膜呈現lOD以上之遠視性變化(Hyperopic shift),同時出現次發性白內障 。經施行白內障摘除手術後,裸視力達0.7,可矯正至1.0。病例二為27歲女性病患,感染 後遺留3.5mm直徑之淺層實質疤痕。經施行準分子雷射治療性角膜切除術,消除疤痕及不 規則性散光,但出現高度遠視及+2度角膜混濁,棵視力0.3,可矯正至0.7。我們從兩例病 例的治療經驗,來探討不同手術方法,對角膜感染後視力重建之可行性。 |
| 英文摘要 | We report two young female cases of pseudomonas aeruginosa keratitis associated with improper soft contact lens wearing. The infections were eradicated with various degree of central comeal scar left, and complicated cataract developed in one case thereafter. The visual acuity were improved after cataract extraction and phototherapeutic keratectomy performed separately. We also discuss the effectivity in visual rehabilitation after infectious corneal keratitis by different surgical methods. |
本系統中英文摘要資訊取自各篇刊載內容。