论文部分内容阅读
我们曾收治因漏诊而致异物存留眼内6年,并发生铁锈症1例。唐××男 35岁工人住院号48178 因右眼胀痛,视力突然下降半天,以右眼急性虹膜睫状体炎、继发性青光眼,于1982年5月10日急诊入院。检查:视力右手动,左1.5。右眼结膜混合性充血(++),角膜水肿、雾状混浊,虹膜肿胀,纹理不清,瞳孔圆,直径2.5mm,屈光间质及眼底窥不清。左眼无异常发现。眼压右34mmHg,左17mmHg。诊断:右眼急性虹膜睫状体炎、继发性青光眼。经散瞳,全身及局部使用激素,碳酸酐酶抑制剂,高渗脱水剂,免疫抑制剂等治疗,一周后眼压逐渐降至正常,但右眼炎症反应无明显好转,前房出现纤维素性渗出物。6月20日发现右眼
We have admitted to foreign bodies due to missed diagnosis and retention of the eye for 6 years, and rust occurred in 1 case. Tang XX male 35-year-old worker hospital number 48178 due to right eye pain, sudden loss of vision half a day to the right eye acute iridocyclitis, secondary glaucoma, on May 10, 1982 emergency admission. Check: right hand vision, left 1.5. Right conjunctival hyperemia (++), corneal edema, cloudy haze, iris swelling, unclear texture, pupil circle, diameter 2.5mm, refraction interstitial and fundus peep unclear. Left eye no abnormalities found. Intraocular pressure right 34mmHg, left 17mmHg. Diagnosis: Right eye acute iridocyclitis, secondary glaucoma. Idiopathic, systemic and topical use of hormones, carbonic anhydrase inhibitors, hypertonic dehydration agent, immunosuppressive agents and other treatment, IOP gradually reduced to normal one week later, but no significant improvement in the right eye inflammatory response, anterior chamber fibrosis Exudate. June 20 found the right eye