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患者男性,65岁,住院号6607,左眼进行性视力下降10年,近20天左右突然眼部胀痛伴头痛、恶心、呕吐,于1987年7月30日入院。检查:BP 17.3/12.0 kPa,心肺正常。跟部检查:右眼视力:0.7,晶体皮质轻度混浊。左眼视力:光感,光定位良好,晶体皮质呈乳白色均匀状混浊,眼压8.23kPa,前房角镜检查为窄Ⅲ(Scheie氏分级法)诊断;(1)双眼老年性白内障(右眼初发期,左眼成熟期;(2)左眼闭角型青光眼。治疗:入院后经降眼压治疗,无效,4.77kPa遂于8月13日在局麻下行左眼晶体冷冻摘除术联合角巩膜咬切术,手术按常规操作进行。当作好角巩膜咬切口后即见虹膜从切口外脱出,晶体向前移位,于进行到
Male patient, 65 years old, hospitalization 6607, decreased visual acuity in the left eye 10 years, about 20 days sudden eye pain with headache, nausea, vomiting, admitted to hospital on July 30, 1987. Check: BP 17.3 / 12.0 kPa, cardiopulmonary normal. With the Ministry of examination: Right eye: 0.7, crystalline cortex mild cloudy. Left visual acuity: light sense, light positioning is good, the crystalline cortex milky white uniform opacity, intraocular pressure 8.23kPa, gonioscopy narrow Narrow Ⅲ (Scheie’s grading) diagnosis; (1) binocular senile cataract (right eye (2) left-angle angle-closure glaucoma treatment: after treatment by lowering intraocular pressure, 4.77kPa then on August 13 at the local anesthesia underwent left-eye crystal cryoepithelial surgery combined Scleral bite resection, surgery according to conventional operation.As a good scleral bite after the incision that the iris prolapse from the incision, the crystal shift forward, as far as