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硅油取出手术后迟发性脉络膜上腔出血二例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Ocular Fundus Diseases
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.1005-1015.2015.03.023
- Key Word:
- 脉络膜出血/诊断;脉络膜出血/治疗;病例报告
Abstract： 例1 患者女,51岁.因右眼玻璃体切割硅油填充手术后3个月拟行硅油取出手术于2014年2月11日入院.既往右眼高度近视,眼轴28.2 mm.入院检查:全身一般情况正常.血压120/70 mmHg(1 mmHg=0.133 kPa).实验室血常规、血凝全套检查正常.右眼视力数指/20 cm,矫正视力-1.25/-1.00×80=0.05;左眼视力0.6.右眼眼压18 mmHg,左眼眼压15 mmHg.双眼外眼正常;瞳孔直径约3 mm,对光反射正常;晶状体透明.右眼玻璃体硅油填充,硅油乳化,眼底呈豹纹状;视盘边界清楚,颜色红,杯盘比(C/D)为0.3;黄斑中心凹反光消失,视网膜平伏.左眼玻璃体混浊,视盘边界清楚,颜色红,C/D为0.3;黄斑中心凹反光正常,视网膜平伏.眼部A/B型超声检查显示,右眼眼轴38.2 mm,左眼眼轴23.4 mm;双眼眼球后壁未见明显视网膜脱离光带.诊断:右眼硅油填充眼,高度近视.于2014年2月13日在球后麻醉下行25G右眼硅油取出联合C3F8气体填充手术.手术完毕时眼底检查正常.
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