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例1 肖××男38岁干部1989年5月行左眼后房人工晶体值入术。植入晶体为改良Sinskey 型(10LA B 103G),术中顺利。术后矫正视力1.0。1989年9月在当地医院发现晶体脱入前房,患者无任何不适。1990年3月复查,左眼矫正视力1.2,角膜透明,前房深浅正常,人工晶体光学部分全部嵌夹在瞳孔前方,呈猫眼状瞳孔,对光反应存在,瞳孔缘与部分光学部分及袢的根部粘连。眼底及眼压正常。采用药物散瞳治疗无效。行手术治疗,术前1小时静脉滴注20%甘露醇400ml,口服醋氮酰胺500mg。用1%托品酰胺充分散瞳,可见7点至11点及4点处瞳孔缘与人工晶体光学部分及袢的根部紧密粘连。做前房穿刺后。先用钝头针分离粘连区无效。
Example 1 Xiao × × male 38-year-old cadres in May 1989 underwent left-sided posterior chamber intraocular lens surgery. Implantation of the crystal was modified Sinskey type (10LA B 103G), the operation was successful. Postoperative correction of visual acuity 1.0 In 1989 September at the local hospital found that the crystal into the anterior chamber, the patient without any discomfort. 1990 March review, vision correction of the left eye 1.2, corneal transparency, anterior chamber normal depth, all embedded in the optical section of the pupil in front of the pupil was cat-like pupil, the presence of light response, the pupil edge and part of the optical part and the Root sticking. Fundus and intraocular pressure normal. Mydriatic treatment with drugs invalid. Surgical treatment, 1 hour before surgery intravenous infusion of 20% mannitol 400ml, oral acetazolamide 500mg. With 1% tropicamide fully dilated, we can see the 7 o’clock to 11 o’clock and 4 o’clock pupil edge and the intraocular lens and ophthalmic ophthalmic part of the close adhesion. After the anterior chamber puncture First with a blunt needle to separate the adhesion zone is invalid.