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患者女性,65岁,15年前因视力下降被确诊为双眼慢性闭角型青光眼,接受虹膜周边切除,联合右眼小梁切除术及左眼巩膜下咬切术后一年,又因视力下降诊断为双眼青光眼术后白内障.近一年来视力下降至仅辨人影于1993年5月29日和8月19日先后住入我院眼科,检查:视力:右眼1米数指,左眼眼前数指,双眼光投射好,能辩红绿色,角膜透明,前房浅,虹膜膨隆,右眼11及12点和左眼12点虹膜周切处,已机化封闭,双眼瞳孔小而园,光反射不敏感,虹膜及大部份瞳孔缘后粘连,晶体为乳白色混浊,眼球压力及运动正常,眼底看不进,双眼球B超无异常回声.全身情况尚可,血糖4.3mmol/L.1993年5月31日左眼在局麻下,避开11至1点巩膜下咬切切口,作1:30至6点角巩膜缘切口,并在1:30处做虹膜根切孔,经孔伸入显微虹膜恢复器,剥离晶体虹膜间粘连,在7及4点处切开瞳孔缘,扩大不能散开的瞳孔,切开晶体前囊娩出混浊晶体囊内容物,抛光后囊、植入屈光度+20D后房人工晶体,1993年8月19日,
Female, 65 years old, 15 years ago due to decreased visual acuity was diagnosed as bilateral chronic angle-closure glaucoma, iris peripheral resection, combined with right eye trabeculectomy and left eye bite resection surgery one year later, due to decreased vision Diagnosed as bilateral glaucoma postoperative cataract eyesight decreased to only one person shadow in the past year on May 29, 1993 and August 19, has admitted to our hospital ophthalmology, check: visual acuity: the right eye 1 meter refers to the left eye The number refers to the eyesight projection good, can be red and green, transparent cornea, anterior chamber shallow, iris bulging, the right eye 11 and 12 points and the left eye 12 points iris circumcision, has been closed, his eyes small and park pupils, Light reflection is not sensitive, the iris and most of the pupil margin adhesion, the crystal is opalescent, ocular pressure and exercise is normal, the fundus does not enter, both eyes B ultrasound no abnormal echo. The general condition is acceptable, blood glucose 4.3mmol / L. May 31, 1993 under the left eye under local anesthesia, 11 to 1 o’clock to avoid scleral incision, for 1:30 to 6 o’clock scleral incision, and at 1:30 to do iris root hole cut by The hole extends into the microscopic iris restorer, stripping the interlaminar adhesions, cleaving the pupillary margin at 7 and 4 o’clock, enlarging the uninvolved pupil, incising the anterior capsule Cloudy lens capsule contents, polished capsule implanted diopter + 20D posterior chamber IOLs, 1993 August 19,