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作者回顾一起医疗失当的诉讼。患者系慢性开角型青光眼,高度近视(-11.00D),用3%氨甲酰胆碱(carbachol)治疗12天后发生视网膜脱离。最初曾用β—受体阻滞剂,但眼压下降不满意,加用2%匹罗卡品后,头痛、出汗,方改用3%carbachol。眼科医师没有在用缩瞳剂之前为患者做周边视网膜检查,也没有告诉患者有视网膜脱离的可能,更没有告诫患者一旦出现闪光或飘浮物即刻来院就诊。发现视网膜脱离后,另一眼检查也有周边视网膜格子样变性及萎缩性裂孔。
The authors review a medical malpractice lawsuit. The patient was chronic open-angle glaucoma with high myopia (-11.00D) and retinal detachment occurred 12 days after treatment with 3% carbachol. Initially used beta-blockers, but not satisfied with the decline in intraocular pressure, plus 2% pilocarone, headache, sweating, side with 3% carbachol. The ophthalmologist did not make peripheral retinal examinations before taking miotic agents and did not tell the patient of the possibility of retinal detachment, nor does he caution patients to visit the hospital in the immediate event of a flash or drifting. After the retinal detachment was found, the other eye was examined for retinal degeneration and atrophic hiatus.