论文部分内容阅读
例1 女,56岁,因急性闭角性青光眼(左),临床前期(右)住院,眼部检查:Vo_D4.6,Vos4.5,眼压右1.63kPa左5.6kPa,左眼球结膜充血+,瞳孔散大,不正圆,虹膜节段性萎缩,晶体轻度混浊,眼底C/D约0.3。右眼正常。左眼压控制正常后,行小梁切除术,右眼行虹膜周切术,均用2％利多卡因2ml(未加肾上腺素)作球后麻醉。病人在术后说,约在麻醉后10分钟时,突觉右眼光感消失至术毕亦未恢复。即给硝酸甘油舌下含服,15分钟后见光亮,20分钟后见人影,25分钟后见指数。眼底见中央动脉变细,网膜后极部灰白,黄斑部可见樱桃红斑,考虑为视网膜中央动脉阻塞。出院时视力右4.8,左4.9,眼压眼底均正常。
Example 1 Female, 56 years old, hospitalized for acute angle-closure glaucoma (left), preclinical (right), eye examination: Vo_D4.6, Vos4.5, right eye 1.63 kPa left 5.6 kPa, left conjunctival hyperemia + , Dilated pupils, not round, segmental atrophy iris, crystal mild opacity, fundus C / D about 0.3. Right eye is normal. Left eye pressure control is normal, trabeculectomy, right iris circumcision, are 2% lidocaine 2ml (without epinephrine) for post-anesthesia. The patient said after surgery, about 10 minutes after anesthesia, the sudden sensation disappeared right eye to surgery did not recover. Namely sublingual nitroglycerin, 15 minutes after see light, see the shadow after 20 minutes, after 25 minutes see the index. See the fundus of the central artery thinning, posterior pole extremely gray, visible macular erythema cherry, consider the central retinal artery occlusion. Right eye discharge at discharge 4.8, left 4.9, intraocular pressure were normal.