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睫状体平部玻璃体切割术已广泛用于治疗视网膜和玻璃体病变,而术后并发症在文献中却很少有报道。本文介绍一例玻璃体切割术后星状小体嵌塞巩膜切口。患者男性,78岁,两眼视力逐渐下降4年,首次就诊时最佳矫正视力右眼20/50,左眼20/200,双眼有白内障和明显玻璃体星状小体,右眼仅能窥见周边部视网膜,左眼视网膜全部被玻璃体混浊所遮档。10个月后视力减至右眼9/200,左眼8/200,白内障无改变。左眼于1981年2月作玻璃体切割术,发现玻璃体呈全部后脱离,切除中央部和上方玻璃体内的所有星状小体,三个玻璃体切割口以8—0尼龙线缝合,其后方作冷冻。术后眼部未发现并发症,玻璃体切割伤口无渗漏证据。患者有慢性肺部病史,术时发生窦性心动过速和室性期前收缩,延续至术后,于术后23天发生心跳呼吸停止,抢救无效死亡。病
Ciliary body pars plana vitrectomy has been widely used to treat retinal and vitreous lesions, and postoperative complications are rarely reported in the literature. This article describes an example of vitreous incision stellate incision scleral incision. Male, 78 years old, two eyes gradually decreased visual acuity 4 years, the best vision for the first visit right eye 20/50, 20/200 left eye, eyes with cataracts and obvious vitreous stellate bodies, the right eye can only see the surrounding Department of retina, left eye retina are all covered by vitreous opacity. After 10 months reduced to 9/200 right eye, left eye 8/200, no change in cataracts. The left eye in February 1981 for vitrectomy and found all the vitreous detachment, removal of the central part and the upper vitreous body of all stellate bodies, the three vitrectomy port sutured to 8-0 nylon line, followed by frozen . No complications were found in the eyes after operation, and there was no evidence of vitreous incision in the wound. Patients had a history of chronic lung disease, sinus tachycardia during surgery and ventricular contraction, extended to postoperative, cardiac arrest occurred 23 days after the resuscitation died. disease