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患者韦×男58岁医生左眼视物不清半年。92年4月曾在本院做过左眼老年性白内障囊外摘除术和后房型人工晶体植入术,治愈出院。出院后约1个月,左眼视力不清,视物不平稳,无眼红痛。因视力减退逐渐加重,于92年11月复诊。门诊诊断为左眼人工晶体移位。再次收住院手术治疗。视力右眼1.0,左眼0.06,不能矫正。球结膜无充血,角膜透明,前房较深,房水清,瞳孔不圆,中等大,瞳孔上移,对光反应存在。12点钟处虹膜稍退缩,人工晶体向6点移位,仅见上1/2光学部分,随眼转动稍摆动。玻璃体透明,眼底正常,眼压正常。左眼B 超检查提示左眼轴2.2cm,人工晶体向后脱位,形态不规则,未见视网膜脱离。诊断为人工晶体后脱位。入
Wei × male patients 58-year-old doctor left eye sight unclear six months. 92 years in April in our hospital had left eye senile cataract extracapsular cataract extraction and posterior chamber intraocular lens implantation, cured and discharged. About 1 month after discharge, left eye vision is not clear, depending on the material is not stable, no eye red pain. Visually impaired because of gradual increase in November 92, referral. Out-patient diagnosis of left-eye intraocular lens shift. Again admitted to hospital for surgery. Right eye 1.0, left eye 0.06, can not be corrected. Bulbar conjunctival hyperemia, corneal transparency, deep anterior chamber, aqueous humor, pupil is not round, medium, upward pupil, the presence of light response. Iris at 12 o’clock slightly retreat, intraocular lens shift to 6:00, only the upper half of the optical part, with the eye rotation slightly swinging. Vitreous transparent, normal eyes, normal intraocular pressure. B-ultrasound left eye prompted left axis 2.2cm, posterior lens dislocation, irregular shape, no retinal detachment. Diagnosis of intraocular lens dislocation. Into