晶状体脱位是指由于各种病因引起的悬韧带发育异常及断裂,从而导致晶状体的位置异常。晶状体脱位的类型复杂,临床处理也各不相同。本文报道了一名老年男性,因外伤分别致右眼晶状体全脱位,左眼人工晶状体不全脱位,伴高同型半胱氨酸血症,在入院后行双眼手术,术式不一,但都获得了预期效果。
Ectopai lentis refers to the abnormal development and rupture of the suspensory ligament caused by various causes, which leads to the abnormal position of the lens. The types of lens dislocation are complex and the clinical treatment methods are different. This article reports an elderly man who suffered from complete dislocation of the right eye lens and incomplete dislocation of the left eye intraocular lens in the left eye, respectively, accompanied by hyperhomocysteinemia due to trauma. After admission, he underwent binocular surgery after admission, and the surgical methods were different, but the expected results were obtained.
暴发性脉络膜上腔出血(subchoroidal expulsive hemorrhage,SEH)是内眼手术中罕见且严重的并发症,广东省人民医院眼科收治1名因晶状体完全脱位继发青光眼的女性患者,73岁,其手术过程中发生SEH,现报告如下。通过回顾病例,讨论及分析SEH的原因、危险因素及治疗。
Subchoroidal expulsive hemorrhage (SEH) is one of the rarest and worst complications of intraocular surgery. We treated one patient with secondary glaucoma due to complete dislocation of the lens, who developed SEH during the surgery. In this case report, the causes, risk factors and treatment of subchoroidal expulsive were discussed and analyzed by reviewing the case.