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患者×××女24岁1986年12月初诊。左眼视力减退,伴眉弓部疼痛3个月。曾到各医院就诊,均诊断为“黄斑病变”。经中西医结合治疗均未凑效,视力仍继续减退。10年前,右眼被气枪打伤后摘除眼球。全身检查未见异常,右眼为义眼。左眼视力0.1。两眼外眼未见改变。左眼视盘较小,色红,边界稍模糊。视盘颞侧缘在颞上、下血管间有5pd大小、灰白色、边缘不整齐的病灶,其上有少量色素,稍隆起(1--2D)。黄斑部视网膜有轻度剥离,视网膜血管较细,颞下动脉远端被白色纤维膜包裹。
The patient × × × female 24 years old 1986 December initial diagnosis. Left eye vision loss, with eyebrow bow pain for 3 months. Have been to the hospital for treatment, were diagnosed as “macular degeneration.” After the treatment of traditional Chinese and Western medicine failed to make good, visual acuity continued to decline. 10 years ago, the right eye was injured after the gun removed his eyeball. No abnormalities in the whole body examination, the right eye is a sense of the eye. Left eye vision 0.1. Outer eyes did not change the two eyes. The left eye optic disc smaller, red, slightly blurred border. The optic disc temporal border in the temporal superior and inferior vessels 5pd size, gray, uneven edge of the lesion, which has a small amount of pigment, slightly elevated (1--2D). Macular retinal detachment mild retinal blood vessels thinner, the distal part of the inferior temporal artery is surrounded by white fiber membrane.