J Korean Ophthalmol Soc > Volume 49(9); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(9):1415-1424.
DOI: https://doi.org/10.3341/jkos.2008.49.9.1415    Published online September 15, 2008.
The Number of Cases, Cause and Treatment of Avellino Corneal Dystrophy Exacerbated After LASIK.
Jeong Ho Yi, Byoung Jin Ha, Sang Woo Kim, Tae im Kim, Eung Kweon Kim
1The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine1, Seoul, Korea. eungkkim@yuhs.ac
2Siloam Eye Hospital, Seoul, Korea.
3Department of Ophthalmology, Ulsan University Hospital, Ulsan University School of Medicine, Ulsan, Korea.
라식 수술 후 악화되는 아벨리노각막이상증의 발견된 숫자, 원인 고찰 및 치료법 제시
이정호1ㆍ하병진2ㆍ김상우3ㆍ김태임1ㆍ김응권1
The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine1, Seoul, Korea / Siloam Eye Hospital2, Seoul, Korea / Department of Ophthalmology, Ulsan University Hospital, Ulsan University School of Medicine3, Ulsan, Korea
Abstract
PURPOSE
To present a case report of fungal keratitis related to prolonged overnight use of orthokeratology contact lenses. METHODS: A 13 year-old girl presented with a corneal ulcer in her left eye refractory to antibacterial medication. She had a history of wearing orthokeratology contact lenses overnight for seven months. RESULTS: The organism Aspergillus was isolated by corneal scraping, the contact lens itself, and from the storage case. The patient was treated with topical fluconazole and Natamycin pimaricin in addition to oral itraconazole, resulting in a resolution of the ocular lesion. CONCLUSIONS: The risk of fungal infection as a potential complication of the use of overnight orthkeratology contact lenses should be considered when using these lenses.
Key Words: Avellino corneal dystrophy;Deep lamellar keratoplasty;Laser in situ keratomileusis


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