Using correlative microscopy for studying and treatment of Mycoplasma infections of the ophtalmic mucosa

Del Prete Salvatore, Marasco daniela, De Gennaro Roberto, Del Prete Antonio
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Abstract

The study consists of 21 patients, divided into 3 groups, allergic, not-allergic, and alleged allergic, chosen on clinical history and manifestations shown at the irst visit; the treatment of 21 patients was carried out over a period of 18 months. After the compilation of the ritual consent in matter of privacy to the execution of the investigations, follows the examination with topcon biomicroscope. The Biomicroscope vision allows a primary diagnosis, where we have observed 2 allergic conjunctivitis on the allergic group, 3 dermatoblefaro-conjunctivitis, 1 keratoconjunctivitis and a suppurative calazosis in according to the history; in the group of alleged allergic, we found 3 blepharitis/ conjunctivitis, 2 dermatoblefaro-conjiunctivitis of which 1 with punctate keratitis, 1 blepharitis and 1 conjunctivitis; in the last group (third one non-allergic patients) we described, in according with clinical history and signs, 1 dermatoblefaroconjiunctivitis (on type II diabetic abitus), 3 ulcers of which a cogan-like, 2 conjunctivitis and 1 scleritis. Patients are given a tear drop at the level of the tarsal conjunctiva thanks to a special spatula, this secretion is transferred onto a 13 mm round slide for reading in SEM and on a polarized and colored slide according to the Pappernheim panoptic (MaygrunwaldGiemsa) for reading in optical microscopy; in addition, photos are taken of the biomicroscope with and without luorescein to document the status quo of patients before therapy.
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应用相关显微镜对眼黏膜支原体感染的研究与治疗
该研究包括21例患者,根据首次就诊时的临床病史和表现,分为过敏、非过敏和疑似过敏3组;21例患者的治疗在18个月的时间内进行。在编制完礼仪同意书后,对隐私事项进行执行调查,随后用topcon生物显微镜进行检查。生物显微镜下初步诊断:过敏组2例过敏性结膜炎,3例皮肤法结膜炎,1例角膜结膜炎,1例化脓性炉石病;在疑似过敏组中,眼睑炎/结膜炎3例,皮囊-结膜炎2例,其中点状角膜炎1例,眼睑炎1例,结膜炎1例;在最后一组(第三例非过敏患者)中,我们根据临床病史和症状描述了1例皮球法结膜炎(II型糖尿病牙床),3例溃疡(cogan样),2例结膜炎和1例巩膜炎。通过特殊的刮刀,患者在睑结膜水平处滴一滴泪液,这种分泌物被转移到13mm的圆形载玻片上,用于扫描电镜读取,根据Pappernheim panoptic (MaygrunwaldGiemsa)的偏振和彩色载玻片上,用于光学显微镜读取;此外,在生物显微镜下拍摄有荧光素和没有荧光素的照片,以记录患者治疗前的状况。
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