Just "rubbing your eyes" actually caused blindness in the left eye? Doctors reveal the consequences of "corneal infection": severe cases require eyeball removal
Just rubbing my eyes! An 80-year-old woman’s left eye has degenerated, leaving only light perception.
Just the simple action of “rubbing your eyes” may lead to the dangerous consequences of “removal of eyeballs”? Dr. Lin Yuxi, the attending physician at the Department of Ophthalmology of Chi Mei Hospital, said that an 82-year-old female elder was admitted to the hospital earlier. She was suspected of rubbing her eyes with her hands without cleaning them properly after work, causing severe eye pain for several days. She did not receive any medication at a nearby ophthalmology clinic. improve.
After examination by Dr. Lin Yuxi, it was found that the patient’s left eye only had “manual vision” (about 91 cm in front of the eyes). Slit lamp examination showed that the left eye had corneal opacity, conjunctival redness and swelling, and hyphema; and the eye Local ultrasound showed vitreous opacity in the left eye, and he was diagnosed with corneal ulcer combined with endophthalmitis in the left eye. Although he was hospitalized immediately and treated with powerful antibiotics. However, the infection did not improve, and the vision in the left eye deteriorated to only light perception.
Could something happen if you wear contact lenses? What are the causes of “corneal ulcers”?
Dr. Lin Yuxi said that the patient’s intraocular infection continued to worsen, and he had no choice but to perform surgery to enucleate the contents of the eye. There was no recurrence of infection after the operation. The microbial culture report confirmed that the source of infection was “Pseudomonas aeruginosa”. After discharge, the outpatient department followed up regularly, and prosthetic eyes were installed 3 months after the wound stabilized. Dr. Lin Yuxi pointed out that infection of corneal lesions can cause corneal ulcers. In severe cases, it may even lead to blindness and the need to remove the eyeball, and called on the public not to be cautious.
The cause of “corneal ulcer” often comes from damage to the corneal epithelial tissue, exposure to bacteria, viruses, fungi and other pathogens, which in turn causes infection. Dr. Lin Yuxi gave examples, such as damage to the corneal surface caused by impact, scratching or scratching by external objects; improper use or failure to clean contact lenses; specific autoimmune diseases such as rheumatoid arthritis, and after eye surgery, etc. . Although most corneal ulcers can be controlled with medication, a small number may progress to endophthalmitis, which may even lead to blindness.
Severe corneal infection requires “eyeball removal”? Doctor: Enucleation of eye contents is the last resort
Dr. Lin Yuxi pointed out that the indications for “eye enucleation surgery” include eyeball tissue that has been seriously damaged beyond repair, infection that cannot be controlled by drug treatment, and painful sightless eyes (such as end-stage glaucoma). This surgery will be performed under general anesthesia. After the eye contents are removed, self-financed silicone balls or coral balls will be implanted as appropriate to maintain a more natural postoperative appearance.
After the surgery is completed, the doctor will instruct the patient to continue using medication and conduct regular follow-up examinations, and then evaluate the customization and wearing of artificial eyes after the condition is stable. However, even with prosthetic eyes, unavoidable asymmetry of the eyes, such as sunken eye sockets or drooping eyelids, may still occur. Possible complications of ocular enucleation surgery include wound bleeding, infection, poor healing leading to protrusion of silicone balls or coral balls, etc.
There is still a risk of blindness if you seek medical treatment promptly! The “3 major bacteria” that most commonly cause eye infections
According to foreign literature, “endophthalmitis” that requires eyeball removal is mostly caused by keratitis caused by microorganisms, followed by trauma or eye surgery. Dr. Lin Yuxi explained that in terms of the bacteria that most commonly cause infections, Streptococcus and Pseudomonas aeruginosa are the most common among “Gram-positive bacteria” and “Gram-negative bacteria” respectively; among fungi, Kojima is the most common. Intraocular infections caused by the above-mentioned pathogenic bacteria often progress rapidly and are prone to serious deterioration. Even if appropriate medical treatment is received immediately, the disease may still progress to the point where the eyeball needs to be removed.
Dr. Lin Yuxi reminded that corneal ulcers caused by corneal infection should not be ignored. Infections caused by certain pathogens may be very rapid and severe, requiring removal of the eyeball. Protecting the windows of the soul should start from daily life. It is recommended that the public protect their eyes and avoid excessive use of their eyes or rubbing their eyes without washing their hands to avoid damage to the tissue on the surface of the eyes, which may lead to serious infections.
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