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首页> 外文期刊>International ophthalmology >Aspergillus flavus endophthalmitis after penetrating keratoplasty combined with cataract phacoemulsification and IOL implantation
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Aspergillus flavus endophthalmitis after penetrating keratoplasty combined with cataract phacoemulsification and IOL implantation

机译：穿透性角膜移植结合白内障超声乳化加人工晶体植入后黄曲霉眼内炎

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摘要

To report the clinical findings and management of a case of Aspergillus flavus endophthalmitis following penetrating keratoplasty (PKP) and combined cataract extraction. Clinical cornea appearance was evaluated by slit-lamp examination. Ocular ultrasonography was performed to evaluate the anterior chamber and vitreous cavity. The cornea was scraped. The corneal-scleral donor rim and media were cultured. The diagnosis of A. flavus infection was made. The patient received fortified antifungal drops (voriconazole 1 % solution) plus systemic voriconazole 400 mg/die. A second corneal transplant was performed, and the anterior chamber was cleaned and washed with a solution of voriconazole 1 %. At the end of follow-up, CDVA was 20/20 and slit-lamp examination showed a clear cornea graft. This case illustrates a severe A. flavus endophthalmitis after PKP and demonstrates the possibilities of visual function restoration. Furthermore, this case describes the different sources of fungal infection after PKP and the different clinical appearances.
机译：报告穿透性角膜移植手术（PKP）和联合白内障摘除术后一例黄曲霉眼内炎的临床发现和管理。通过裂隙灯检查评估临床角膜外观。进行超声检查以评估前房和玻璃体腔。刮擦角膜。培养角膜-巩膜供体边缘和培养基。诊断为黄曲霉感染。患者接受强化的抗真菌滴剂（伏立康唑1％溶液）加全身性伏立康唑400毫克/死亡。进行第二次角膜移植，并清洁前房并用伏立康唑1％溶液洗涤。随访结束时，CDVA为20/20，裂隙灯检查显示透明的角膜移植物。该病例说明了PKP后出现严重的黄曲霉眼内炎，并显示了视觉功能恢复的可能性。此外，该病例描述了PKP术后真菌感染的不同来源以及不同的临床表现。

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