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中华眼科医学杂志(电子版) ›› 2021, Vol. 11 ›› Issue (06) : 365 -369. doi: 10.3877/cma.j.issn.2095-2007.2021.06.008

病例报告

隐匿性板栗刺眼外伤导致坏死性巩膜炎3例
刘诗亮1, 常雪娇1, 陈志祺1, 徐玲娟1, 李贵刚1, 周雄武1,()   
  1. 1. 430030 武汉,华中科技大学同济医学院附属同济医院眼科
  • 收稿日期:2021-08-11 出版日期:2021-12-28
  • 通信作者: 周雄武
  • 基金资助:
    国家自然科学基金面上项目(82070936)

3 cases of necrotizing scleritis caused by concealed eye injury of chestnut

Shiliang Liu1, Xuejiao Chang1, Zhiqi Chen1   

  • Received:2021-08-11 Published:2021-12-28
引用本文:

刘诗亮, 常雪娇, 陈志祺, 徐玲娟, 李贵刚, 周雄武. 隐匿性板栗刺眼外伤导致坏死性巩膜炎3例[J]. 中华眼科医学杂志(电子版), 2021, 11(06): 365-369.

Shiliang Liu, Xuejiao Chang, Zhiqi Chen. 3 cases of necrotizing scleritis caused by concealed eye injury of chestnut[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2021, 11(06): 365-369.

图3 坏死性巩膜炎病例3的眼前段彩色照相、前节光学相干断层扫描检查图像及术中彩色照片 图3A示结膜下可疑细小异物;图3B前节光学相干断层扫描结果显示结膜水肿合并巩膜层间液性暗区伴组织后部边界欠清;图3C示术中取出巩膜表面一枚针尖大小的板栗刺
[1]
Zhang ZD, Huang MK, Zhou R,et al.A 7-year retrospective study for clinical features and visual outcome of chestnut burr-related ocular injuries[J].Graefe′s Archive for Clinical and Experimental Ophthalmology,2013,251(4):1247-1249.
[2]
程钧,董燕玲,翟华蕾,等. 板栗刺所致眼部损伤的临床观察[J]. 中华眼科杂志202056(5): 370-375.
[3]
许小兰,蔡苏博,周龙芳,等. 角膜板栗刺异物伤15例的临床观察[J]. 国际眼科杂志201616(8): 1537-1540.
[4]
Moses RA, Grodzki WJ, Starcher BC,et al.Elastin content of the scleral spur, trabecular mesh, and sclera[J].Invest Ophthalmol Vis Sci,1978,17(8):817-818.
[5]
Schlereth SL, Neuser B, Caramoy A,et al.Enrichment of lymphatic vessel endothelial hyaluronan receptor 1 (LYVE1)-positive macrophages around blood vessels in the normal human sclera[J].Invest Ophthalmol Vis Sci,2014,55(2):865-872.
[6]
Norn M.Topography of scleral emissaries and sclera-perforating blood vessels[J].Acta Ophthalmol,1985,63(3):320-322.
[7]
Watson PG, Young RD.Scleral structure, organisation and disease. A review[J].Exp Eye Res,2004,78(3):609-623.
[8]
Wakefield D, di Girolamo N, Thurau S,et al.Scleritis: Immunopathogenesis and molecular basis for therapy[J].Prog Retin Eye Res,2013,35:44-62.
[9]
Wakefield D, Di Girolamo N, Thurau S,et al.Scleritis: challenges in immunopathogenesis and treatment[J].Discov Med,2013,16(88):153-157.
[10]
Watson PG, Hayreh SS.Scleritis and episcleritis[J].Br J Ophthalmol,1976,60(3):163-191.
[11]
Wilhelmus KR, Grierson I, Watson PG.Histopathologic and clinical associations of scleritis and glaucoma[J].Am J Ophthalmol,1981,91(6):697-705.
[12]
Bhat PV, Jakobiec FA, Kurbanyan K,et al.Chronic herpes simplex scleritis: characterization of 9 cases of an underrecognized clinical entity[J].Am J Ophthalmol,2009,148(5):779-789.
[13]
Hankins M, Margo CE.Histopathological evaluation of scleritis[J].J Clin Pathol,2019,72(5):386-390.
[14]
Ramenaden ER, Raiji VR.Clinical characteristics and visual outcomes in infectious scleritis: a review[J].Clin Ophthalmol,2013,7:2113-2122.
[15]
Reddy JC, Murthy SI, Reddy AK,et al.Risk factors and clinical outcomes of bacterial and fungal scleritis at a tertiary eye care hospital[J].Middle East Afr J Ophthalmol,2015,22(2):203-211.
[16]
Hodson KL, Galor A, Karp CL,et al.Epidemiology and visual outcomes in patients with infectious scleritis[J].Cornea,2013,32(4):466-472.
[17]
Guerrero-Wooley RL, Peacock JJ.Infectious scleritis: what the ID clinician should know[J].Open Forum Infect Dis,2018,5(6):y140.
[18]
Tuft SJ, Watson PG.Progression of scleral disease[J].Ophthalmology,1991,98(4):467-471.
[19]
Sainz DLMM, Jabbur NS, Foster CS.Severity of scleritis and episcleritis[J].Ophthalmology,1994,101(2):389-396.
[20]
Ramenaden ER, Raiji VR.Clinical characteristics and visual outcomes in infectious scleritis: a review[J].Clin Ophthalmol,2013,7:2113-2122.
[21]
Homayounfar G, Borkar DS, Tham VM,et al.Clinical characteristics of scleritis and episcleritis: results from the pacific ocular inflammation study[J].Ocul Immunol Inflamm,2014,22(5):403-404.
[22]
Sainz DLMM, Molina N, Gonzalez-Gonzalez LA,et al.Clinical characteristics of a large cohort of patients with scleritis and episcleritis[J].Ophthalmology,2012,119(1):43-50.
[23]
Stem MS, Todorich B, Faia LJ.Ocular pharmacology for scleritis: review of treatment and a practical perspective[J].J Ocul Pharmacol Ther,2017,33(4):240-246.
[24]
Meallet MA.Subpalpebral lavage antibiotic treatment for severe infectious scleritis and keratitis[J].Cornea,2006,25(2):159-163.
[25]
Komai Y, Ushiki T.The three-dimensional organization of collagen fibrils in the human cornea and sclera[J].Invest Ophthalmol Vis Sci,1991,32(8):2244-2258.
[26]
Hsiao CH, Chen JJ, Huang SC,et al.Intrascleral dissemination of infectious scleritis following pterygium excision[J].Br J Ophthalmol.1998,82(1):29-34.
[27]
Hemady R, Sainz DLMM, Raizman MB,et al.Six cases of scleritis associated with systemic infection[J].Am J Ophthalmol,1992,114(1):55-62.
[28]
Murthy SI, Sabhapandit S, Balamurugan S,et al.Scleritis: Differentiating infectious from non-infectious entities[J].Indian J Ophthalmol,2020,68(9):1818-1828.
[29]
Pradhan ZS, Jacob P.Infectious scleritis: clinical spectrum and management outcomes in India[J].Indian J Ophthalmol,2013,61(10):590-593.
[30]
Jain V, Garg P, Sharma S.Microbial scleritis-experience from a developing country[J].Eye (Lond),2009,23(2):255-261.
[31]
Inoue T, Inoue Y, Asari S,et al.Utility of etest in choosing appropriate agents to treat fungal keratitis[J].Cornea,2001,20(6):607-609.
[32]
Ho YF, Yeh LK, Tan HY,et al.Infectious scleritis in Taiwan-a 10-year review in a tertiary-care hospital[J].Cornea,2014,33(8):838-843.
[33]
刘素媛,刘立春,单秀水,等. 感染性角膜炎的病原菌分析及药敏试验[J]. 中国实用眼科杂志201735(2): 143-146.
[34]
Stenson S, Brookner A, Rosenthal S.Bilateral endogenous necrotizing scleritis due toAspergillus oryzae[J].Ann Ophthalmol,1982,14(1):67-72.
[35]
Margo CE, Polack FM, Hood CI.Aspergillus panophthalmitis complicating treatment of pterygium[J].Cornea,1988,7(4):285-289.
[36]
Reynolds MG, Alfonso E.Treatment of infectious scleritis and keratoscleritis[J].Am J Ophthalmol,1991,112(5):543-547.
[37]
Jhanji V, Yohendran J, Constantinou M,et al.Scedosporium scleritis or keratitis or both: case series[J].Eye Contact Lens,2009,35(6):312-315.
[38]
Taravella MJ, Johnson DW, Petty JG,et al.Infectious posterior scleritis caused byPseudallescheria boydii. clinicopathologic findings[J].Ophthalmology,1997,104(8):1312-1316.
[39]
Brunette I, Stulting RD.Sporothrix schenckii scleritis[J].Am J Ophthalmol,1992,114(3):370-371.
[40]
Chung PC, Lin HC, Hwang YS,et al.Paecilomyces lilacinus scleritis with secondary keratitis[J].Cornea,2007,26(2):232-234.
[41]
Iwasaki T, Matsuno K, Yamamoto M,et al.Penicillium endophthalmitis in necrotizing scleritis treated with topical corticosteroid and cyclosporin A[J].Jpn J Ophthalmol,2008,52(6):506-508.
[42]
Jeang LJ, Davis A, Madow B,et al.Occult fungal scleritis[J].Ocul Oncol Pathol,2017,3(1):41-44.
[43]
Yu J, Syed ZA, Rapuano CJ.Infectious scleritis: pathophysiology, diagnosis, and management[J].Eye Contact Lens,2021,47(8):434-441.
[44]
Murthy SI, Sabhapandit S, Balamurugan S,et al.Scleritis: Differentiating infectious from non-infectious entities[J].Indian J Ophthalmol,2020,68(9):1818-1828.
[45]
Ono T, Mori Y, Nejima R,et al.Optical coherence tomography examination of the anterior segment in a case of corneal perforation and lens trauma by chestnut burr[J].Case Reports in Ophthalmology,20189(1):154-159.
[46]
Ashleigh LL, Careen YL, Kimberly MB,et al.Anterior segment spectral domain optical coherence tomography imaging of patients with anterior scleritis[J].Int Ophthalmol,2016,36(4):499-508.
[47]
Mark H, Curtis EM.Histopathological evaluation of scleritis[J].J Clin Pathol,201972(5):386-390.
[48]
梁庆丰. 感染性巩膜炎需关注的问题及对策[J]. 中华眼科杂志201551(6): 414-416.
[49]
赵格,谢立信. 感染性角膜炎的分子诊断技术研究进展[J]. 中华眼科杂志201551(9): 709-714.
[50]
张明新,彭晓燕,呼风,等. 宏基因组测序技术检测感染性葡萄膜炎病原体的初步研究[J]. 中华眼科杂志202056(7): 519-523.
[51]
Hong BK, Lee CS, van Gelder RN,et al.Emerging techniques for pathogen discovery in endophthalmitis[J].Curr Opin Ophthalmol,2015,26(3):221-225.
[52]
Gerardo PG, Neyla CE, Nancy DJ,et al.Ocular injury with chestnut burr: our experience[J].Cornea,2016,35(10):1315-1319.
[53]
Hwang HJ, Lee YW, Koh KM,et al.Lenticular fungal infection caused byAspergillus in a patient with traumatic corneal laceration: a case report[J].BMC Ophthalmol,2020,20(1):173.
[54]
Joanne CW, Jocelyn L, Michael RB.Scleral patch graft with a suture reinforcement technique in surgical management of necrotizing scleritis with ectasia[J].Cornea,2018,37(7):933-935.
[55]
Howell A, Midturi J, Sierra-Hoffman M,et al.Aspergillus flavus scleritis: successful treatment with voriconazole and caspofungin[J].Med Mycol,2005,43(7):651-655.
[56]
Fincher T, Fulcher SF.Diagnostic and therapeutic challenge ofAspergillus flavus scleritis[J].Cornea,2007,26(5):618-620.
[57]
Kim H, Ahn JY, Chung IY,et al.A case report of infectious scleritis with corneal ulcer caused byScedosporium aurantiacum[J].Medicine (Baltimore),2019,98(27):e16063.
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