https://scholars.lib.ntu.edu.tw/handle/123456789/638994
標題: | Herpetic keratouveitis mixed with bilateral Pseudomonas corneal ulcers in vitamin A deficiency | 作者: | Hsu, Hung-Yuan Tsai, I-Lun Kuo, Li-Lin Tsai, Ching-Yao Liou, Shiow-Wen LIN-CHUNG WOUNG |
關鍵字: | corneal ulcer; herpetic keratouveitis; vegetarian; vitamin A deficiency; xerophthalmia | 公開日期: | 二月-2015 | 卷: | 114 | 期: | 2 | 來源出版物: | Journal of the Formosan Medical Association = Taiwan yi zhi | 摘要: | A 56-year-old woman complained of blurred vision and pain in her right eye for several days. Slit lamp examination revealed a large epithelial defect and disciform stromal edema with ring infiltration in her right cornea. Unfortunately, hypopyon and purulent discharge subsequently developed in both eyes. Herpetic keratouveitis and a superimposed pseudomonas infection were diagnosed. A systemic review on the patient showed malnutrition due to her dietary preference and vegetarianism. After the infection was controlled, bilateral epithelial defects persisted for a long time. We performed amniotic membrane transplantation on both eyes and the clinical status improved with administration of vitamin and protein supplements. Although rare in Taiwan, vitamin A deficiency should be kept in mind when conjunctival and corneal xerosis occurred. Vitamin A supplements are suggested because of the increased susceptibility to infection in patients with this clinical status. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/638994 | ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2011.07.018 |
顯示於: | 醫學系 |
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