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Home > West Medicine > ENT & Ophthalmology > Ophthalmology
B49.x04†

Fungal Corneal Ulcer

眼科

Common symptoms

流泪、组织坏死、角膜溃疡、结膜充血、眼痛、角膜炎、畏光、眼结膜水肿及角膜溃疡

The pathology of disease

First reported by Leber 1878; increasing in China over last decade. Some antibiotic-refractory "serpiginous ulcers" are actually fungal.

Common Symptoms

Lacrimation; tissue necrosis; corneal ulcer; conjunctival injection; eye pain; keratitis; photophobia; conjunctival edema/corneal ulcer

Causes and Pathogenesis

Direct fungal invasion; scrapings show hyphae; culture grows fungi. Dozens of pathogenic fungi (21 genera/25 species); Aspergillus most common, then Fusarium. Farmers; plant trauma (grain threshing most common); 1-4 day incubation (avg 2.4).

Treatment

Drug therapy, supportive therapy

Preventive Measures

Farmers, summer/autumn harvest. Handwashing; no long-term contact lens wear; cut off source; no public bathing/swimming; topical therapy; cold/cooling foods (water bamboo/winter melon/bitter melon/lotus root/sugarcane/banana/watermelon).

Department to Visit

It is recommended to visit the Ophthalmology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.