کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3478479 | 1233401 | 2015 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Herpetic keratouveitis mixed with bilateral Pseudomonas corneal ulcers in vitamin A deficiency Herpetic keratouveitis mixed with bilateral Pseudomonas corneal ulcers in vitamin A deficiency](/preview/png/3478479.png)
A 56-year-old woman complained of blurred vision and pain in her right eye for several days. Slit lamp examination revealed a large epithelial defect and disciform stromal edema with ring infiltration in her right cornea. Unfortunately, hypopyon and purulent discharge subsequently developed in both eyes. Herpetic keratouveitis and a superimposed pseudomonas infection were diagnosed. A systemic review on the patient showed malnutrition due to her dietary preference and vegetarianism. After the infection was controlled, bilateral epithelial defects persisted for a long time. We performed amniotic membrane transplantation on both eyes and the clinical status improved with administration of vitamin and protein supplements. Although rare in Taiwan, vitamin A deficiency should be kept in mind when conjunctival and corneal xerosis occurred. Vitamin A supplements are suggested because of the increased susceptibility to infection in patients with this clinical status.
Journal: Journal of the Formosan Medical Association - Volume 114, Issue 2, February 2015, Pages 184–187