鐮刀黴角膜炎：一般信息和意識-眼科護理博客

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Fusarium Keratitis: General Information And Awareness鐮刀黴角膜炎：一般信息和意識

Fusarium Keratitis: General Information And Awareness鐮刀黴角膜炎：一般信息和意識

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What is Fusarium Keratitis? 什麼是鐮刀黴角膜炎？

Fusarium Keratitis is an inflammation of the cornea, the clear membrane that covers the colored part of the eye (iris) and pupil of the eye.鐮刀黴角膜炎是一種炎症的角膜，明確的膜，包括彩色的一部分，眼（ IRIS ）的和學生的眼睛。 It is caused by Fusarium which is a large genus of filamentous fungi widely distributed in soil and in association with plants.這是所造成的鐮刀菌，這是一個大屬絲狀真菌廣泛分佈於土壤和在協會與植物。 The higher incidence of fusarium keratitis among normal contact lens wearers is a new finding.較高的發病率鐮刀黴角膜炎之間的正常接觸鏡片是一個新的發現。

General Symptoms: 一般症狀：

Symptoms of Fusarium keratitis include eye pain, foreign body sensation, redness, tearing, discharge, or light sensitivity.症狀鐮刀黴角膜炎，包括眼痛，異物感，發紅，撕裂，卸貨，或對光線敏感。 If you experience any of these symptoms, you should return to your optometrist immediately.如果您遇到任何這些症狀，您應該返回到你的視光師立即。

Prevention: 預防措施：

Adults and children who wear contact lenses should on a regular basis use sterile lens-cleaning and disinfecting solutions.成人和兒童誰配戴隱形眼鏡應定期就使用無菌鏡片的清洗和消毒的解決辦法。 Tap water is not sterile and should not be used to clean contact lenses.自來水是不育和不應該被用來清潔隱形眼鏡。 It is important to go for follow-up checkups because small defects in the cornea can occur without the patient being aware of it.這是很重要的去跟進檢查，因為小的缺陷，眼角膜可能會發生無病人意識到這一點。 Do not overwear contact lenses.不overwear隱形眼鏡。 Remove them if the eyes become red or irritated.如果刪除它們的眼中，成為紅色或惱火。 Replace contact lenses when scheduled to do so.更換隱形眼鏡時，定於這樣做。 Proteins and other things can deposit on the contacts, leading to an increased risk of infection.蛋白質和其他的東西可以對存款的接觸，從而導致增加感染的風險。 Rinse contact lens cases in hot water every night, if possible, and let them air dry.沖洗接觸透鏡案件在熱水每天晚上，如果可能的話，讓他們空氣乾燥。 Replace contact lens cases every three months.取代接觸透鏡案件每3個月。 Organisms have been cultured from contact lens cases.生物體已培養從接觸透鏡案件。

How to treat Fusarium Keratitis 如何看待鐮刀黴角膜炎

Clinically, it is often difficult to differentiate between fungal and bacterial infections.在臨床上，往往是很難區分的真菌和細菌感染。 Confirmation may be obtained by your doctor through corneal culture, corneal tissue biopsy or confocal microscopy.確認可能獲得由您的醫生通過角膜文化，角膜組織活檢或共焦顯微鏡。 Laboratory results take time to get back, so your doctor may place you on antibiotics pending results.化驗結果需要一段時間取回，所以您的醫生可能的地方，您對抗生素等候結果。 Should fungal treatment be warranted, topical or oral anti-fungal agents may be used.應真菌治療的需要，局部或口服抗真菌劑可用於。 In some cases, surgical intervention is necessary.在某些情況下，外科干預是必要的。

However the standard treatment of Fusarium fungal keratitis is frequent use of Natamycin 5% drops, often used every hour around the clock initially.然而，標準的治療鐮刀菌真菌性角膜炎的頻繁使用納他黴素的5 ％下降，經常使用每一個小時左右的時鐘最初。 A cycloplegic drop, eg, scopolamine 0.25%, is also usually used to decrease the inflammation inside the eye. 1 cycloplegic下降，例如，東莨菪鹼0.25 ％，亦是通常用來減少炎症的內眼。 Occasionally, oral antifungal medications, eg, itraconazole, fluconazole or voriconazole are also used.偶爾，口服抗真菌的藥物，如伊曲康唑，氟康唑或伏立康唑也使用。 An urgent corneal transplant may be required in deep infections with impending or frank perforations.一項緊迫的角膜移植，可能需要在深感染與即將或坦率的齒孔。

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