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患者,女,22岁,于1995年3月2日下午5时许无意中观看电焊光,晚上8时许突然感到双眼疼痛、畏光、流泪、异物感,遂来就诊.检查:双眼睑浮肿,眼球混合性充血,角膜上皮点状脱落,荧光素染色阳性.诊为“双眼电光性眼炎”,给予1%狄卡因滴眼,症状缓解,滴氯霉素眼液以防感染.2天后又以右眼视物不清、变形来诊.检查:视力右0.3,左1.5,外眼(-),角膜、前房、瞳孔、晶体均未见异常.右眼底:黄斑部视网膜水肿、高起,周围黄白色渗出,视乳头和视网膜血管无异常.诊断为右眼黄斑灼伤.给予静滴血管扩张剂、皮质类固醇,肌注维生素B_1、B_(12),口服碘制剂,同时进行高压氧治疗.10天后复查:视力右0.6,眼底:黄斑中心凹可见黄白色斑点,其周围围绕着不规则的色素圈,大约0.S视乳头直径.按以上方案继续治疗半月后复查:右眼视力1.0.
The patient, female, aged 22, inadvertently saw the welding light at 2:00 pm on March 2, 1995. Suddenly his eyes felt pain, photophobia, tearing, foreign body sensation and came to see a doctor at 8 pm. Examination: double eyelid edema , Conjunctival hyperemia, corneal epithelial punctate fall, fluorescein staining positive.Diagnosed as “binocular eosinophilic ophthalmia”, giving 1% lidocaine eye drops, relieve symptoms, dripping chloramphenicol eye drops to prevent infection.2 Days after the right eye again with blurred vision, deformation to the diagnosis. Examination: visual acuity 0.3, left 1.5, the outer eye (-), cornea, anterior chamber, pupil, crystal were no abnormalities .Right fundus: macular retinal edema, High starting, yellow and white around the oozing, papilla and retinal blood vessels without abnormal diagnosis of right eye macular burns given intravenous vasodilators, corticosteroids, intramuscular injection of vitamin B_1, B_ (12), oral iodine preparations, at the same time Hyperbaric oxygen treatment .10 days after the review: visual acuity of 0.6, fundus: yellow fovea can be seen around the fovea, surrounded by irregular color circle, about 0. S depending on the diameter of the nipple. Visual acuity 1.0.