肖××,女,58岁,退休小学教师,患高度近视,老年性白内障,生活尚可自理。1989年8月某日和他人闲谈时听说患此病会眼瞎,心情紧张,顿觉双眼睁不开,看不见,此后一直不能恢复,走路摸索前进,常碰撞障碍物,撞得头青面肿。曾到数间医院治疗,服西药及穴位注射维生素B_(12)等,毫无效果,患者极为苦恼,常在子女面前哀叹,哭泣,并显露厌世念头。1990年2月20日由女儿搀扶来诊。检查:双眼睑裂宽度为0,嘱向上看时仅有抬眉动作,上睑完全不能上提。被动开睑见:双角膜老年环,前房中等深,瞳孔圆,两侧等大,对光反射存在。晶体:右核及皮质呈棕黄色混浊,左灰白色混浊,虹膜投影(+),拟诊:癔病性上睑下 Xiao × ×, female, 58 years old, retired primary school teacher, suffering from high myopia, senile cataract, life can take care of themselves. When I was chatting with someone on August 8, 1989, I was told that I was suffering from blindness and nervousness. I could not see my eyes and could not be recovered afterwards. Swollen face. Had to several hospital treatment, western medicine and acupuncture points injection of vitamin B_ (12), etc., no effect, patients are extremely distressed, often in front of their children lament, cry, and revealed the idea of ​​world-weary. February 20, 1990 by her daughter to come to the clinic. Check: eyelid fissure width of 0, told to look up when only lifting eyebrows action, the upper eyelid can not mention. Passive open eyelid see: double corneal ring, medium anterior chamber depth, pupil round, both sides of the big, the presence of light reflex. Crystal: the right nucleus and cortex was brown and cloudy, left gray and white opacity, iris projection (+), proposed diagnosis: hysteria lower eyelid