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患者李××,女,72岁,诊断:左眼上睑内翻.检查:视力右眼0.8,左眼0.7,眼压右眼2.74kPa(1kPa=7.5mmHg)左眼2.98kPa.于滴抗生素后第3天上午在局麻下行左眼上睑Hotz内翻矫正术.手术顺利,术后涂红霉素眼青,包扎术眼.术后第1天凌晨,患者突然出现左眼剧痛,伴左侧头痛、恶心、呕吐,当地村医给予止痛、抗炎等治疗,症状不减.术后第2天下午复诊见;左眼视力0.02,结膜混合充血,角膜雾状混浊,前房浅,前房角镜检查见房角大部分关闭,瞳孔散大6mm,呈椭圆形,光反射消失,眼底像模糊,测眼压右眼2.74
Patient Lee × ×, female, 72 years old, diagnosis: Left eye, upper eyelid varus. Examination: Right eye 0.8, Left eye 0.7, IOP 2.74kPa (1kPa = 7.5mmHg) Left eye 2.98kPa. After the first 3 days at the local anesthesia under the Left eyelid Hotz varus correction surgery was successful, after erythromycin eye enamel, bandaged eyes .On the first day after surgery, the patient suddenly appeared in the left eye pain, With left headache, nausea, vomiting, local village doctors give painkillers, anti-inflammatory treatment, the symptoms diminished.On the second day after surgery referral see; the left eye visual acuity 0.02, conjunctival hyperemia, corneal haze cloudy, shallow anterior chamber , Angle goggles to see most of the corner off, mydriasis 6mm, oval, light reflection disappeared, the fundus blurred, measured right eye pressure 2.74