松毛虫毒毛致眼外伤  

Eye injury caused by dendrolimus poisonous hair

作　　者：田敏[1] 吕红彬[1] 

机构地区：[1]泸州医学院附属医院眼科,四川646000

出　　处：《中华眼外伤职业眼病杂志》2014年第10期763-765,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的 探讨松毛虫毒毛刺伤眼部的临床特点、诊断及规范化治疗。方法 结合1例松毛虫毒毛致眼外伤的临床资料复习相关文献。结果 患者行右眼角膜、前房毒毛摘出术后，予以抗过敏药物、糖皮质激素、抗生素及促进角膜上皮修复类药物治疗。患者右眼视力恢复正常，角膜上皮修复，前房内无毒毛，房水闪光（一），瞳孔对光反应灵敏。结论 松毛虫毒毛引起的角结膜病变水肿较重，毛刺短小难以被检查出，且毒毛有引起虹膜炎、眼内炎，严重者失明的可能。因此应及早诊断，适时及使用正确的方法摘出异物，以保护眼球，保持和恢复视力。Objective To investigate the clinical characteristics, diagnosis and treatment for eye injury caused by dendrolimus poisonous hair. Methods One case of eye injury caused by dendrolimus poisonous hair was analyzed, and the literature was reviewed. Results The dendrolimus poisonous hairs were removed from the patient＇ s cornea and anterior chamber. The antiallergic drugs, corticosteroid, antibiotics and corneal epithelial healing medication were applied. After treatment, the vision recovered to noimal and the cornea epithelium was repaired. There was no poisonous hair deposited in anterior chamber. The aqueous flare was negative and papillary light reaction was prompt. Conclusion Eye injuries caused by dendrolimus poisonous hair has been featured with severe corneal edema and chemosis, complicated with iritis, endophthalmitis, which would cause vision impairment. The dendrolimus poisonous hair is very fine, which is difficult to be removed. Early removal and timely treatment is crucial for visual recovery.

关 键 词：松毛虫 毒毛 角膜异物 多发 前房异物 

分 类 号：R779.13[医药卫生—眼科]