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本文报告了5例(男3,女2)人工晶体眼尸检时所发现的组织病理学变化。年龄71～90岁,虹膜固定型人工晶体4例,前房型人工晶体1例。植入人工晶体时,白内障囊内摘出者4例,囊外摘出者1例。晶体植入到死亡相隔时间为3.5～52个月。患者死于急性心肌梗死者2例,心跳骤停1例,肺癌1例,呼吸衰竭1例。人工晶体眼尸检时肉眼观察发现所有人工品体位置均正常,手术切口愈合良好,虹膜呈现萎缩,房角闭塞,虹膜周边前粘连。显微镜下观察发现在5例中角膜内皮细胞均有不同程度的稀疏和变薄,2例后弹力膜破裂,1例变厚,1例前弹力
This article reports the histopathological changes found in the autopsy of 5 patients (3 males and 2 females). Age 71 to 90 years old, Iris fixed intraocular lens in 4 cases, anterior chamber intraocular lens in 1 case. Intraocular lens implantation, cataract extraction in 4 cases, extracapsular removal in 1 case. Crystal implants to death interval of 3.5 to 52 months. Patients died of acute myocardial infarction in 2 cases, cardiac arrest in 1 case, 1 case of lung cancer, respiratory failure in 1 case. Intraocular lens necropsy when the naked eye found that all artificial body position were normal, surgical incision healed well, the iris showed atrophy, angle closure, the iris before the adhesion. Under the microscope, corneal endothelial cells were sparse and thinned to varying degrees in 5 cases, ruptured the posterior membrane in 2 cases, thicked in 1 case,