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王××,男,32岁,住院号4839.左眼挫伤后视野下方黑影1周.双眼17年前行白内障手术.右眼术后无光感;左眼数指.左眼玻璃体浓缩,10:00—5:00巨大裂孔,孔后缘翻折向后极部,并与玻璃体粘连,无卷曲.视网膜扁平状全脱离,无增殖性改变.立即行闭合式玻璃体切除术,切除视网膜前玻璃体皮质、分离粘连区、翻折的后缘恢复活动度.并可复于原位;再行完全气液交换;360°宽巩膜扣带的前缘于角膜缘后8mm,9:00~6:00角膜线后9~12mm范围经巩膜冷冻;最后换入50%SF_6 2ml.嘱俯卧位,并将裂孔置于最上方.10天后气体吸收.视网
Wang × ×, male, 32 years old, hospital number 4839. Left eye contusion after dark shadow 1 week underwent eyes 17 years ago cataract surgery right eye postoperative light perception; left eye number refers to the left eye vitreous concentration, 10: 00-5: 00 Huge hole, trailing edge of the hole fold back to the posterior pole, and with vitreous adhesions, no curly. Retinal flat completely detached, no proliferative changes. Immediately closed closed vitrectomy, resection of the retina Vitreous cortex, the separation of adhesions area, the recovery of the trailing edge of the recovery activity and can be restored in situ; and then completely gas-liquid exchange; 360 ° wide scleral buckle front edge of the corneal margin 8mm, 9: 00 ~ 6 : 00 corneal line after the 9 ~ 12mm range by the scleral frozen; finally into the 50% SF_6 2ml. Tip prone position, and the hole placed in the top .10 days after the gas absorption.