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患者男,28岁,气焊工。1992年6月21日做气焊工作8小时,其间常不戴保护眼镜。当天晚上8时左右,出现双眼磨痛、畏光、流泪。随之到医院就诊,给予0.5％地卡因滴眼液点眼。次日晨起发现双眼视力明显减退,被他人扶到我院治疗。查视力双眼均0.02,双眼睑及颜面潮红,眼睑水肿,角膜刺激症状明显,混合性充血。角膜上皮大片剥脱,角膜水肿增厚,中央区全层灰白色混浊直径为8mm,界限不清;瞳孔等大,光反应迟。限内情况窥不清,指测眼压Tn。诊断:双电光性服炎。入院后给予激素,阿托品散瞳,口服消炎痛,维生素B族等药物治疗。双眼分别球结膜下注射自家血10ml,庆大霉素2万U,氟美松2.5mg。治疗后次日见角膜上应修复,但角膜混浊水肿无变化,即给地塞米松10mg,每日一次静点。住院第三天视力,右:0.1、左:0.03,双角膜实质层灰白色混浊局限,界限清楚,角膜内皮层轻度水肿。以后每日交替球结膜下注射氟美松或维生素C,维生素B_22.5mg加入0.25％氯霉素眼药水中点眼。住院第5天,右眼角膜水肿消退,角膜上应有细小点状混浊,2％萤光索染色着
Patient male, 28 years old, gas welder. June 21, 1992 gas welding work 8 hours, during which often wear protective glasses. At about 8 o’clock that night, his eyes ached, photophobia and tears. Followed by a hospital visit, given 0.5% tetracaine drops eye. The next morning found that binocular vision was significantly reduced, others were helped to our hospital treatment. Visual acuity both eyes were 0.02, both eyelids and facial flushing, eyelid edema, corneal irritation, mixed congestion. Large corneal epithelial exfoliation, corneal edema thickened, the central entire area of gray-white opaque diameter of 8mm, the boundaries are unclear; the pupil and other large, late light response. Limited situation peep unclear, referring to intraocular pressure Tn. Diagnosis: double electric light inflammation. After admission to give hormones, atropine mydriasis, oral indomethacin, vitamin B family and other drug treatment. Eyes were subconjunctival injection of their own blood 10ml, gentamicin 20000U, dexamethasone 2.5mg. See the next day after treatment, the cornea should be repaired, but no change in corneal edema, that dexamethasone 10mg, once daily static point. The third day hospitalization visual acuity, right: 0.1, left: 0.03, dual corneal gray and white turbidity real boundaries, clear boundaries, mild corneal endothelial edema. Subsequent daily replacement ball conjunctival injection of dexamethasone or vitamin C, vitamin B_22.5mg added 0.25% chloramphenicol eye drops in the eye. On the fifth day of hospitalization, corneal edema of the right eye subsided. There should be slight punctate opacity on the cornea and staining of 2% fluorescent cord