[Postoperative complications in acute cholecystitis].
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A posterior chamber lens with five-degree angulated loops made by Hoya Company, Ltd., (181 lenses) and Menicon Company, Ltd., (19 lenses) was implanted in 200 consecutive eyes with senile or developmental cataracts without other known preoperative ocular conditions. The postoperative visual acuity with correction was excellent--20/40 or better in 97.5% of eyes and 20/20 or better in 79.0%. The rate of in-the-bag implantation was 67.5%. There were no cases of primary pupil capture of the lens optic; secondary capture due to postoperative inflammation and synechias was observed in 7.0% of eyes.
A 44-year-old man with known mitral stenosis presented for minor surgery. Anaesthesia was induced with fentanyl, droperidol and etomidate and maintained with nitrous oxide, oxygen and vecuronium. Surgery and anaesthesia were uneventful but the postoperative course was stormy, with respiratory arrest, Haemophilus pneumonia, refractory cardiac dysrhythmias and gastrointestinal atony. A diagnosis of dystrophia myotonica was made after 3 weeks in the intensive care unit, and he spent 6 weeks in hospital. A high index of suspicion for this disease must be maintained and intensive care facilities and monitoring should be available for all procedures.
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