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晶体外伤性全脱位于玻璃体内,并继发青光眼和葡萄膜炎者,疗效欠佳.作者采用中西医结合消炎、降压,在炎症消除、眼压正常后,用单针穿刺固定的方法,摘除全脱位晶体获得成功.现报告如下:患者张××,男,72岁,住院号037960,于1993年4月18日,右眼被牲口踢伤,视力下降.伤后第4天右眼胀痛、恶心、呕吐,视力下降明显,就诊后体检未见异常.眼部检查:视力右眼眼前手动,左眼0.6.右眼球结膜混合充血(?),角膜水肿,前房深,有玻璃体疝,虹膜震颤纹理不清,瞳孔散大7mm,光反射消失.裂隙灯检查房闪(+),玻璃体内可见点状、絮状浑浊物飘浮,脱
The whole traumatic dislocation of the lens in the vitreous body, and secondary to glaucoma and uveitis, poor efficacy. The author combined anti-inflammatory and anti-inflammatory in Chinese and Western medicine, inflammation, normal intraocular pressure, with a single needle puncture method, The total dislocation of the crystal removed successfully reported are as follows: Zhang × ×, male, 72 years old, hospital number 037960, on April 18, 1993, the right eye was kicked by the farm animal, visual acuity decreased .4 days after injury right eye Pain, nausea, vomiting, decreased visual acuity, physical examination after treatment no abnormalities .Ophthalmoscopy: visual acuity of the right eye in front of manual, the left eye 0.6 right conjunctival hyperemia (?), Corneal edema, anterior chamber deep, with vitreous Hernia, iris tremor texture is unclear, mydriasis 7mm, light reflex disappeared .Slit lamp examination room flash (+), visible in the vitreous spot, flocculent turbid floating, off