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患者施××男37岁92年2月30日左眼被木棒击伤,视力下降,角膜上皮水肿,角膜后弹力层撕裂,眼压4.77KPa。门诊诊断为左眼继发性青光眼。给予0.5%噻吗心安点眼,1日2次,1%匹罗卡品点眼,1日3次,口服醋氮酰氨250mg,每日4次,氯化钾750mg,每日4次。持续用药3个月,眼压仍不能控制,并且视力逐渐下降,病情继续加剧,收入院行手术治疗。视力右眼0.4,左眼0.02。左眼睫状充血,角膜呈雾状混浊,后弹力膜可见一纵形撕裂(约5×2mm 大小),KP(+),呈羊脂状,前房深浅正常,房水闪光(+)。虹膜正常,瞳孔约3.5mm,对光反应迟钝。晶体透明。右眼眼压正常,左眼4.77KPa。入院诊断左眼继发性青光眼。全身
Patients × × male 37 years old February 30, 1992 the left eye was injured by a wooden rod, decreased visual acuity, corneal epithelial edema, tear the corneal posterior elastic layer, intraocular pressure 4.77KPa. Outpatient diagnosis of left eye secondary glaucoma. Give 0.5% timolol eyesight, 2 times a day, 1% pilocarone eye, 1 3 times, oral acetylacetone 250mg, 4 times a day, potassium chloride 750mg, 4 times a day. Continuous medication for 3 months, intraocular pressure still can not control, and gradually decreased visual acuity, the condition continued to aggravate, income hospital surgical treatment. Right eye 0.4 and left eye 0.02. Left ciliary congestion, the cornea was cloudy and hazy, posterior elastic membrane showed a longitudinal tear (about 5 × 2mm size), KP (+), was suave, anterior chamber shades normal, aqueous humor (+ . Normal iris, pupil about 3.5mm, unresponsive to light. Crystal transparent. Right eye intraocular pressure normal left eye 4.77KPa. Admission to diagnose secondary left glaucoma. whole body