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患儿男,7岁,被发现右眼瞳孔发白3个月就诊。足月顺产,无吸氧史。全身检查无异常,眼科检查:右眼视力光感,晶体白色混浊,眼后段不能查见。左眼视力1.2,晶体透明,眼底未见异常。双眼眼压Tn。入院诊断:右眼先天性白内障。1993年6月2日在氯胺酮麻醉下行右眼白内障现代囊外摘除后房型人工晶体植入术,术中清除皮质后见后囊下方有轻微白色反光,疑为玻璃体混浊,未作处理。顺利植入PMMA后房型人工晶体。术后局部应用皮质类固醇及散瞳,第2天视力无提高,检查眼底见玻璃体后下方有白色纤维膜状条索,延伸至视乳头,其中伴有血管。纤维膜边界清晰,视乳头淡黄色、斜椭圆形,未见视网
Male, 7 years old, was found to have a right pupil 3 months of treatment. Full-term production, no oxygen history. No abnormalities in the whole body examination, ophthalmology examination: light perception of the right eye, crystal white opacity, can not see the posterior segment of the eye. Left eye vision 1.2, transparent crystal, fundus no abnormalities. Binocular pressure Tn. Admission diagnosis: Right eye congenital cataract. June 2, 1993 under ketamine anesthesia underwent extracapsular cataract extraction of posterior chamber intraocular lens implantation, removal of the cortex after surgery under the posterior capsule showed a slight white reflection, suspected vitreous opacity, untreated. Smooth implantation of PMMA posterior chamber intraocular lens. Topical application of corticosteroids and mydriasis, visual acuity was not increased on the second day, check the fundus see the bottom of the vitreous after the white fiber membrane-like cord, extending to the optic nerve, which accompanied by blood vessels. Fiber membrane clear boundaries, depending on the nipple light yellow, oblique oval, no vision