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患者王××女55岁1990年3月19日行左眼老年性白内障冷凝摘除术。手术经过顺利,术后眼部情况良好。术后1周出院,出院时左眼视力为+10D=0.1,眼压正常。4月19日复诊,左眼疼痛,畏光、流泪,头痛,恶心、呕吐已2天。左眼视力眼前指数,不能矫正。左眼压50.62mmHg(6.73KPa)明显睫状充血,角膜呈雾状混浊,前房极浅。裂隙灯下可见玻璃体疝,玻璃体前膜几乎靠近角膜内皮。诊断为无晶体性瞳孔阻滞。入院后,局部滴激素眼水、抗生素眼药水、用阿托品散瞳,静滴20%甘露醇,口服醋氮酰胺和强的松。用药后5天,眼压仍不下降,逐行手术治疗。手术在显微镜下进行,行球后睫状神经
Patient Wang × × Female 55 years old March 19, 1990 Left eye cataract extraction surgery. The operation went well and the postoperative eye condition is good. One week after surgery, the left eye vision was + 10D = 0.1 and IOP was normal at discharge. April 19 referral, left eye pain, photophobia, tearing, headache, nausea, vomiting has been 2 days. Left eye vision index, can not be corrected. Left eye pressure 50.62mmHg (6.73KPa) obvious ciliary congestion, the cornea was cloudy and cloudy, anterior chamber very shallow. Slit lamp visible vitreous hernia, vitreous anterior membrane is almost close to the corneal endothelium. Diagnosed as aphakic pupil block. After admission, local drip hormones eye drops, antibiotic eye drops, mydriasis with atropine, intravenous infusion of 20% mannitol, oral acetazolamide and prednisone. 5 days after treatment, intraocular pressure still does not decline, progressive surgery. Surgery under a microscope, after the ball ciliary nerve