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裂孔性视网膜脱离手术在现阶段应用硅胶材料日渐增多,术后出现排斥反应、感染等情况每有发生,尤其是术后出现霉菌感染的病例增多,往往难以找出致菌原因。我科所见1例无菌性坏死病例,与霉菌感染的早期临床表现极为相似,现报告如下。患者王××女38岁已婚工人左眼无明显诱因视力下降,颞下方出现黑影17天。体检未见异常。右眼视力0.08,矫正0.2,左眼视力眼前手动,不能矫正。光定位尚好。右眼检查呈高度近视改变,余无明显异常。左眼角膜透明,棕色K_p(+),房水闪光(+),瞳散散大,晶体晃动,晶体前皮质点状混浊,玻璃体浓缩,玻璃体内大量
At present, the application of silicone material in the process of retinal detachment surgery is increasing. It is often difficult to find out the cause of causing bacteria after each occurrence of rejection and infection, especially after the occurrence of mold infection. A case of aseptic necrosis seen in our department, and early clinical manifestations of fungal infections are very similar, are as follows. Patient Wang × × female 38-year-old married workers left eye no obvious cause of vision loss, temporal dark shadow appeared 17 days. No abnormal physical examination. Right eye visual acuity 0.08, correction 0.2, manual left eye vision can not be corrected. Light positioning is still good. Right eye examination showed a high degree of myopia changes, I no obvious abnormalities. Left cornea transparent, brown K_p (+), aqueous humor (+), pupil scattered big, crystal shaking, opacity of the front cortex opacity, vitreous concentration, a large number of vitreous