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On the early diagnosis of fungal keratitis and the clinical treatment of
PAGE \* MERGEFORMAT 3
On the early diagnosis of fungal keratitis and the clinical treatment of
[Paper Keywords] fungal keratitis; early diagnosis; treatment
[Abstract] Objective: To investigate the early diagnosis of fungal keratitis and treatment. Methods: keratitis in patients with first diagnosis of conventional smears, the clinical diagnosis of fungal keratitis (fungal keratitis, FK) of the 20 cases of patients with mild debridement, iodine burning, subconjunctival injection of 0.2%, fluconazole 0.5 ml , ketoconazole, and amphotericin B eye-eye-water, qid, oral Sporanox 0.2g, qn. Adjusted depending on the severity and changes in medication type, quantity and delivery methods. Results: 18 cases recovered, two cases of deterioration of surgery. Conclusion: FK’s first diagnosis smear examination is a clear diagnosis of FK shortcut. Debridement, iodine burning and antifungal agents in combination will enable the vast majority of clinical cure in patients with early mild FK.
Fungal keratitis is a kind of blindness caused by pathogenic fungi high rate of infectious corneal disease, China’s agricultural population, agriculture, traumatic corneal fungal keratitis (FK) a major cause. FK in China accounted for suppurative corneal infections 46.7% [1], accounting for penetrating keratoplasty (PK) causes 33.2% [2]. We are in our hospital diagnosed 20 cases of diagnosis and treatment of patients with mild FK retrospective analysis, are reported as follows:
1 Data and methods
1.1 General Information
We are from 2003 to 2006 in our hospital clinic smear examination revealed fungal hyphae and confirmed 20 cases of fungal keratitis in 20 patients, were mild early stage patients, 13 males and 7 females, the youngest 26 years old, maximum 56-year-old, with an average 41-year-old, both monocular. Farmers in 15 cases, 5 cases of other persons; plant injury in 16 cases, non-plant injury, 3 cases of unknown causes in 1 case.
1.2 Diagnosis based on
① history of corneal
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