白内障摘除人工晶体植进抗青光眼联合手术的护理(国外英文资料).docVIP

白内障摘除人工晶体植入抗青光眼联合手术的护理(国外英文资料)In October 1997 to May 1999 by ultrasonic emulsification cataract extraction and artificial lens implantation and glaucoma triple surgery of 86 cases (92 eyes) of cataract with glaucoma patients, obtaining good results, the report is as follows.Clinical data of 1Of the 86 cases (92 eyes), 39 were male, 47 were female, and the age was 53-80, with an average of 61 years. Primary open-angle glaucoma 67 cases of 72 eyes, primary closed-angle glaucoma 7 cases 8 eyes, secondary glaucoma and 12 eyes. Intraocular preoperative eye pressure 2.74 to 7.74 kPa, which is still high or unstable by reducing intraocular pressure. Before the operation, the optical sensation was 0.2. The cataract can be seen in 15 cases of 15 eyes, 15 eyes, C/D = 0.5 ~ 0.9.2 surgical method30 min of the preoperative 30 min drops 20% mandeol 250 ml under control of the eye pressure, and the tosfamide is rapidly dispersive. Anesthesia, do ball week on temporal or nasal vault as basal conjunctival flap, which is apart from the world after 2 ~ 3 mm of limbus of cornea made of 6 mm dial diamond knife arc incision, separation to 1 mm, inside a clear corneal tunnel within the conventional do mouth, 3.5 mm knife stab into the anterior chamber, note viscoelastic agent, the method of continuous circular capsulorhexis, sufficient water separation. High vacuum (20 kPa) - low energy nuclear 50% ultrasonic emulsification in situ, automatic suction cortex, artificial lens implantation incision, with corresponding diopter study.this method were implanted in a shape of artificial crystal. Allow the adhesive to maintain the front room, make the small girder and the resection of the iris. Rinse the front room and inject 1 percent of the millet base 0.1 ~ 0.2 ml of the pupil, inject BSS solution to form the front room, no need to sew the line is water tight. The conjunctival flaps were fixed, the conjunctiva was injected with the 210,000 U and dexamethasone 5 mg, the opercular eye.3 the resu