摘要
一位27岁的男士右眼被蜜蜂螫伤。右眼剧痛伴视力下降及眼睑肿胀。角膜中央可见滞留的毒刺,周围有明显的角膜水肿和较多的后弹力膜皱襞。针迅速地被移除后,患者继发持续性的角膜水肿和虹膜异色。患眼局部应用激素,并于5mo后行穿透性角膜移植。手术后1a其视力良好。蜜蜂螫伤眼后所致的角膜水肿少见,可长期存在并导致严重的视力损害。早期行穿透性角膜移植有利于获得好的视力。
A 27-year-old man was stung by a bee presented with severe pain in the right eye. It was associated with reduced vision and swelling of the eyelids. A retained stinger was identified at the center of the cornea, surrounded by dense corneal oedema and numerous folds in the Descemet＇s membrane. The sting was removed completely. He subsequently developed persistent corneal oedema and heterochromia iridis. He was treated with intensive topical steroids. He underwent penetrating keratoplasty five months after the injury. His visual acuity was satisfactory one year after the surgery. Corneal oedema is an uncommon complication of bee sting injuries. It can be persistent and results in severe visual impairment. An early penetrating keratoplasty offers a good visual outcome after bee stinq iniury.
出处
《国际眼科杂志》
CAS
2009年第10期1852-1854,共3页
International Eye Science
关键词
滞留毒刺
角膜水肿
早期穿透性角膜移植
retained stinger
corneal oedema
early penetrating keratoplasty
