碘酊烧灼联合氟康唑治疗真菌性角膜溃疡的疗效

摘要

AIM: To explore the effect of 30g/L iodine rubbed and debridement of wound together with 2g/L fluconazole in the treatment of fungal corneal ulcers.METHODS: Fifty fungal keratitis cases (50 eyes) diagnosed by corneal smear examination were cleaned locally, iodine blanch. All patients were given 2g/L fluconazole for systemic treatment, treated eye with 2g/L fluconazole eye-drops and loxacin eye-drops, and 30g/L atropine eye ointment dilate the pupils.RESULTS: Fifty cases (50 eyes) were selected, of which, 40 cases were healed, 8 cases were improved and 2 cases were aggravated with operation being given.CONCLUSION: After early and timely diagnosis of fungal keratitis, local debridement, 30g/L iodine rubbed the wound and joint with systemic and local treatment of fluconazole can achieve good effect.%目的:探讨30g/L碘酊涂擦创面及病灶清除联合2g/L氟康唑治疗真菌性角膜溃疡的效果.方法:对临床上经角膜刮片镜检确诊的真菌性角膜炎50例50眼进行局部清创,碘酊烧灼,所有患者均给予2g/L氟康唑全身治疗,2g/L氟康唑滴眼液及氧氟沙星眼药水点眼,局部涂以30g/L阿托品眼膏常规散瞳.结果:患者50例中,40例痊愈,8例好转,2例恶化手术治疗.结论:真菌性角膜炎在早期及时确诊后,局部病灶清除,碘酊烧灼创面联合氟康唑全身及局部治疗可以取得良好疗效.