巴基斯坦最近的季风降雨是史无前例的,并在巴基斯坦各地造成洪水,尤其是在信德省和俾路支省.在这场全国性灾难之后,各种水传播和传染病开始在全国各地爆发。在这样一个遭受灾难的城市雅各布巴德,我们开始接受一组特殊的眼部投诉,模仿病毒性角膜结膜炎。对传统治疗无效和这些角膜混浊的独特外观导致了对微孢子性角膜结膜炎的罕见诊断。后来通过显微镜和受影响最严重的病例的角膜刮片染色证实了这一点。根据已发表的文献,所有病例均采用氟喹诺酮和局部抗真菌治疗,随后,该疾病在一周内被清除。这种疾病在世界各地呈上升趋势,尤其是在亚洲。据我们所知,巴基斯坦尚未报告此类病例。在这个系列中,我们强调了在季风雨季和洪水后暴露于汇集的水体后,患者出现微孢子性角膜炎的强烈相关性。此外,这份报告将有助于提高眼科专业人员对预防的认识,及时诊断和治疗这些罕见和新出现的病例。关键词:角膜炎,孢子,水传播疾病,微孢子虫.
The recent monsoon rains in Pakistan were unprecedented and caused flooding all over Pakistan, especially in Sindh and Balochistan. Following this national disaster, various water-borne and contagious diseases started erupting all over the country. In such a calamity-struck city of Jacobabad, we started receiving cases with a peculiar set of ocular complaints mimicking viral
keratoconjunctivitis. Failure to respond to traditional treatment and the unique appearance of these corneal opacities led to a rare diagnosis of Microsporidial
Keratoconjunctivitis, which was later confirmed by microscopy and staining of corneal scrapings of the most affected
case. In line with published literature, all cases were treated with topical fluoroquinolone and topical anti-fungal therapy, following which the disease was cleared within a week. The disease has seen an upward trend the world over, especially among Asia. To the best of our knowledge, no such cases have been reported in Pakistan as yet. In this
case series, we highlight the strong correlation of emergence of microsporidial keratitis in patients following exposure to pooled water bodies after the monsoon rainy season and floods. Moreover, this report will help create awareness in eye professionals regarding the prevention, timely diagnosis and treatment of these rare and emerging cases. Key Words: Keratitis, Spores, Water-borne diseases, Microsporidia.