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白内障手术时的驱逐性出血虽然罕见,但会导致失明。根据最近Taylor的统计,在白内障手术58,735眼中有115眼(0.2%)发生驱逐性出血。作者等报告一例合并有青光眼的老年性过熟期白内障手术时发生驱逐性出血。患者69岁女性,出凝血时间等无异常。视力右仅光感,左0.9,眼压右29mmHg,左10mmHg,球结膜充血,前房深,房水内可见类似胆固醇结晶的混浊物,并沉着于角膜后壁和小梁网全周,特别是在下方较多。房角无闭塞,未见虹膜后粘连,晶体呈老年性过熟期白内障的状态。诊断为伴有青光眼的老年性白内障。行右白内障囊内摘出,术前投与碳酸酐酶抑制剂及抗生素,肌注止血剂。轮匝肌和球后麻醉并压迫眼球。作5针预置缝线后行角巩膜全层切开。未用α-糜蛋白酶而用Hess匙断晶体小带,试作压出法时晶体囊破裂,乃把核压出,洗净
Deportation bleeding during cataract surgery is rare, but causes blindness. According to recent Taylor statistics, 115 eyes (0.2%) of 58,735 cataract surgeries developed disabling bleeding. The authors report a case of dismembered hemorrhage during cataract surgery in elderly over-mature glaucoma. 69-year-old female patient, a clotting time without exception. Right eye light perception, left 0.9, intraocular pressure right 29mmHg, left 10mmHg, conjunctival hyperemia, anterior chamber deep, aqueous humor can be seen similar cholesterol crystals of opacity and calm in the corneal posterior wall and trabecular meshwork all week, especially in the More below. No angle occlusion, no adhesion after the iris, the lens was senile over-mature cataract state. Diagnosis of senile cataract associated with glaucoma. OK right cataract capsule removal, preoperative administration of carbonic anhydrase inhibitors and antibiotics, intramuscular hemostatic agents. Orbicularis muscle and ball anesthesia and oppression of the eye. For 5-pin pre-suture line sclera full-thickness incision. Without the use of α-chymotrypsin with Hess spoon crystal small strip, try out when the crystal capsule rupture, is the nuclear out, wash