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作者用同一种手术方法给脱位的外伤性白内障7眼作了晶体摘出手术。男6,女1,年龄为50~80岁,视力为指数~手动。所有脱位晶体均通过前路取出,当晶体脱入前房或嵌塞于瞳孔时,术前用2%匹罗卡品或乙酰胆碱缩瞳。当晶体脱位于后房并仍有部分悬韧带与之连接时,应尽量散瞳。局麻,术前均在手术室内静点20%甘露醇75ml,然后测眼压,若眼压<15mmHg时,开始手术,若眼压≥15mmHg,用眼球按摩将眼压下降至15mmHg以下时再作手术。开睑,固定上直肌,作穹窿基底结膜瓣,止血。用4根7—0丝线将Flieringa环固定于眼球上。作160~180°角巩膜切开,缝一根角膜牵引缝线并作一周边虹膜切除术。清除前房内的玻璃体,并切断粘连到
The authors used the same surgical procedure to dislocate traumatic cataract in 7 eyes underwent a crystal extraction operation. Male 6, female 1, age 50 to 80 years old, visual acuity ~ manual. All dislocated crystals were taken out through the anterior path, when the crystal into the anterior chamber or impaction in the pupil preoperatively with 2% pilocarpine or acetylcholine. When the crystal off in the posterior chamber and there are still some suspensory ligament with the connection, should try to mydriasis. Local anesthesia, surgery were preoperative intraventricular static point 20% mannitol 75ml, and then measured intraocular pressure, if intraocular pressure <15mmHg, began surgery, if intraocular pressure ≥ 15mmHg, eye massage with intraocular pressure will be reduced to 15mmHg below For surgery. Open the eyelid, fixed on the rectus, for the dome base conjunctival flap, stop bleeding. Flieringa ring is secured to the eyeball with 4 7-0 silk threads. For 160 ~ 180 ° sclectomy, suture a corneal traction and make a peripheral iridectomy. Clear the anterior chamber vitreous, and cut off the adhesion to