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笔者最近用1％阿托品散瞳配合常规疗法治愈3例眼前房出血患者。典型病例报告如下。患者男,30岁。因右眼外伤致前房出血,经双眼包扎、止血、卧床等治疗无效。3天后前房再度出血,且继发青光眼(眼压43.38mmHg),视力黑蒙,用20％甘露醇等治疗7天仍未见效。后采用1％阿托品多次强力散瞳及配合常规疗法4天后视力达下方一米指数,眼压正常。再用阿托品治疗3天后视力达0.5,前房出血基本吸收;11天后视力达1.0,前房出血全部吸收;1个月后患眼视力为1.5。
I recently used 1% atropine mydriasis with conventional therapy to cure 3 cases of anterior chamber bleeding. Typical case report is as follows. Male patient, 30 years old. Due to right eye trauma caused by anterior chamber bleeding, bandaged by binocular, hemostasis, bed rest and other treatment is invalid. 3 days after the anterior chamber hemorrhage again, and secondary glaucoma (intraocular pressure 43.38mmHg), dark vision, with 20% mannitol treatment for 7 days still no effect. After using 1% atropine multiple strong mydriasis and conventional therapy 4 days after the visual acuity reached one meter below the index, normal intraocular pressure. Atropine and then treated 3 days after vision up to 0.5, basic absorption of the anterior chamber; visual acuity of 1.0 after 11 days, all anterior chamber bleeding; 1 month after suffering from visual acuity of 1.5.