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患者哈××男性38岁右眼外伤后发生化脓性角膜溃疡穿孔,疼痛难忍,伴有头痛,视力严重障碍。用药物治疗2个月余无效。视力右眼光感,外上方光定位不确。眼睑中度水肿,角膜溃疡侵及全层,上方虹膜脱出,下半部角膜只遗留后弹力层。前房浅,充满脓液,瞳孔看不清。施行全角膜和环形板层巩膜瓣移植术。用2%利多卡因进行球后、结膜下、眼轮匝肌及眼睑漫润麻醉。缝线开睑。沿角膜缘切开球结膜,行环形分离。固定上下直肌,于角膜缘后5mm 处全周切开1/3厚度巩膜,但不剖开巩膜板
Ha × × male patients 38 years after the right eye traumatic suppurative corneal ulcer perforation, pain unbearable, accompanied by headache, severe visual impairment. With medication more than 2 months invalid. Eyesight right sense of light, outside the upper light positioning is not accurate. Edema moderate edema, corneal ulcer invading full-thickness, above the iris prolapse, leaving only the lower half of the cornea after the elastic layer. Anterior chamber shallow, full of pus, pupils can not see clearly. Whole corneal and annular lamellar scleral flap transplantation. After the ball with 2% lidocaine, subconjunctival, orbicularis oculi and eyelid diffuse anesthesia. Suture open eyelid. Cut along the corneal bulbar conjunctiva, the ring separation. Fixed the upper and lower rectus muscle, 5mm at the corneal margin cut full thickness 1/3 sclera, but not cut the scleral plate