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人工晶体植入术后不可逆散瞳是术后瞳孔逐渐散大到6mm 以上,对任何缩瞳药无效,瞳孔不能恢复到正常大小。现将我们所遇见的3例报告如下。例1 女75岁双眼视力逐渐下降4年,近半年加重。否认眼病史。于1988年10月20日入院。视力:双眼0.04,矫正不能提高。晶体核性混浊,以左眼为重。眼底看不清。光定位及色觉正常。诊断:老年性核性白内障。1988年10月26日在局麻下行左眼囊外摘除并人工晶体植入术。植入人工晶体时用气泡加Healon,手术经过顺利。术毕虽用多量1%毛果云香碱缩瞳,瞳孔仅缩至4mm。术后第1天,视力0.1,矫正不能提高,光反应迟钝,眼压正常。5天后瞳孔直径
Irreversible mydriasis after intraocular lens implantation is postoperative pupil gradually scattered to 6mm above, for any miotic drugs ineffective, the pupil can not be restored to normal size. Now we have met three reports are as follows. Example 1 female 75 years old binocular vision decreased gradually 4 years, nearly six months increased. Denied the history of eye disease. On October 20, 1988 admission. Eyesight: Eyes 0.04, correction can not be improved. Crystal nuclear opacity, left eye as the most important. Eyes can not see clearly. Light positioning and color vision normal. Diagnosis: Senile nuclear cataracts. October 26, 1988 at the local anesthesia left extracapsular excision and intraocular lens implantation. Implantation of intraocular lens with Healon bubble, the operation went well. Although surgery with a large amount of 1% pilocarpine vanilloid pupil shrink only to 4mm. The first day after surgery, visual acuity 0.1, correction can not be improved, light response, intraocular pressure normal. Pupil diameter after 5 days