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患者于××女27岁工人主诉:自幼眼球颤动,视力障碍。出生后父母发现两眼眼球震颤,视力不佳,右眼视力仅辨手指,左眼视力尚能维持生活自理。既往史及生活史无特殊记载。家族史:同胞五人,除本人外无类似眼病者。全身检查:除两眼外全身发育均正常。眼部检查:右眼:眼前指数,左眼:0.01。不能矫正。两眼球略小。右眼轻度内斜,两眼球各方向运动正常。两眼为混合性眼球震颤。两眼角膜直径均为10mm,右眼角膜缘4点处有一直径1.5mm点状白斑,左眼角膜透明。两眼角膜都有数个点状色素性沉着物,Tydall氏现象阴性,前房深正常。虹膜纹理清楚,无异色。右眼瞳孔区被完整的网状瞳孔残膜遮盖,左眼亦有部分瞳孔残膜,瞳孔缘有数处切
Patients in XX female 27-year-old worker chief complaint: childhood eyeball fibrillation, visual impairment. After birth, parents found that nystagmus, poor eyesight, right eye vision only fingers, the left eye still able to maintain their own vision. Past history and life no special record. Family history: five fellow citizens, in addition to their own no similar eye disease. Whole body examination: In addition to the two eyes all body development are normal. Eye examination: Right eye: immediate index, left eye: 0.01. Can not correct. Two little eyeballs. Right eye mild internal oblique, normal movement of both eyeballs in all directions. Two eyes mixed nystagmus. Corneal diameter of both eyes are 10mm, 4:00 at the right eye cornea has a diameter of 1.5mm punctate white spots, left corneal transparency. Both corneas have several punctate pigmentation, Tydall’s phenomenon was negative, anterior chamber deep normal. Iris clear texture, no color. The pupil area of the right eye is covered by the intact reticular pupil, the left eye also has some residual pupil,