Corneal perforation in a premature infant at the corrected gestational age of 32 weeks
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Accession number;04A0155699
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| Title;Corneal perforation in a premature infant at the corrected gestational age of 32 weeks |
| Author;
KUBOTA TOSHIAKI
(National Nagasaki Medical Center, JPN)
SUYAMA YAYOI
(National Nagasaki Medical Center, JPN)
WAKIYA JUNKO
(National Nagasaki Medical Center, JPN)
ONIZUKA NAOKO
(National Nagasaki Medical Center, JPN)
AOKI MIKIHIRO
(National Nagasaki Medical Center, JPN)
MATSUO KOJI
(National Nagasaki Medical Center, JPN)
YOSHINAGA MUNEYOSHI
(National Nagasaki Medical Center, JPN)
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Journal Title;Japanese Journal of Clinical Ophthalmology
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Journal Code:Z0515B
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ISSN:0370-5579
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VOL.58;NO.2;PAGE.171-173(2004)
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| Figure&Table&Reference;FIG.2, REF.8 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A male infant was referred to our neonatal intensive care unit (NICU) on the day of birth. He had been born after gestation for 27 weeks with the birthweight of 982 g. He was diagnosed with extremely low birthweight infant, extremely immature infant, respiratory distress syndrome, asphyxia, and suspected septicemia. Systemic antibiotics was started on day 17 of birth for elevated CRP value. The left eye developed corneal opacity with discharge on day 23. Corneal ulcer and iris hemorrhage appeared 3 days later. Pseudomonas and Candia were isolated from tracheal exudate. Instillation of vancomycin was started. Another 4 days later, corneal perforation developed with iris prolapse. The defective cornea was covered by conjunctival flap with success. The right eye had retinopathy of prematurity with intact anterior segment throughout. This case illustrates that corneal perforation in premature infant may be caused by corneal infection. Such an instance is extremely rare and, to our best knowledge, only nine cases have been reported in world literature. (author abst.) |
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