Pseudomonas corneal ulcers associated with soft contact-lens wear.
Pseudomonas corneal ulcers associated with soft contact-lens wear.
复制标题
与软性隐形眼镜佩戴相关的假单胞菌角膜溃疡。
DOI：
10.1016/0002-9394(81)90649-8
复制
发表时间：
1981
影响因子：
4.2
通讯作者：
D. Ahearn
中科院分区：
文献类型：
--
作者：
Louis A. Wilson;R. Schlitzer;D. Ahearn
6例患者的7例假单胞菌性角膜溃疡与配戴软性角膜接触镜和使用由蒸馏水和氯化钠片剂制备的盐水溶液有关。从角膜溃疡中分离出的同一种假单胞菌也从自制盐水中分离出，在一种情况下，从用于制备盐水溶液的水中分离出。在6名患者中的3名中，从角膜溃疡中分离的假单胞菌与从患者盐水溶液中分离的假单胞菌具有相同的血清型和生化特性。市售的蒸馏水，即使是推荐用于软性隐形眼镜的品牌，在使用前也被发现被革兰氏阴性细菌污染。临床病史显示，所有患者均在接触透镜热消毒后不适当地使用自制生理盐水作为润湿剂、滴眼液或沐浴液。用污染的生理盐水对眼睛进行自我接种对使用自制生理盐水的软性角膜接触镜配戴者是一种危害。
SevenPseudomonascorneal ulcers in six patients were associated with soft contact-lens wear and use of saline solutions prepared from distilled water and sodium chloride tablets. The same species ofPseudomonasisolated from the corneal ulcers were also isolated from the home-prepared saline and in one instance from the water used to prepare the saline solution. In three of the six patients, the pseudomonad isolated from the corneal ulcer was of the same serotype and biochemically identical to the pseudomonad from the patients' saline solution. Commercially available distilled water, even brands recommended for use with soft contact lenses, was found to be contaminated with gram-negative bacteria before use. Clinical histories disclosed that all patients inappropriately used the home-prepared saline as a wetting agent, or eyedrop, or bath, after thermal disinfection of the contact lens. Self-inoculation of the eye with contaminated saline is a hazard for soft contact-lens wearers who use home-prepared saline solution.