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患者,女,36岁,山区农民,于1991年10月30日在高山砍柴时被带有黑褐色虫茧白栎树枝弹起击中左眼,伤眼当即疼痛不适,以手揉眼数分钟,因左眼仍不适,中止劳动回家.次日左眼发红、流泪、视物模糊,至土医处就诊,以缝衣针挑出细毛刺数根.20天后伤眼逐渐好转.以后左眼反复发红、流泪、视物模糊3次,每次约半个月,均自然好转.1993年11月1日至本院就诊,门诊查视力左:1.2,球结膜轻度充血,内毗部结膜肥厚,透过肥厚的结膜可见结膜下、巩膜内有黑色毛刺11根,部分毛刺尖端刺入巩膜深层,9时处角膜实质层毛刺2根,毛刺周围角膜小片浑浊,角膜后细小色素性KP数点,10时处虹膜小片萎缩灶,中央毛刺1根.瞳孔大于右眼,约5mm,光反射好,晶体、玻璃体透明,眼底未见异物或病灶,右眼正常.当天在裂隙灯下挑出结膜下虫茧毛刺4根,配给抗生素、皮质类固醇眼液离院,嘱定
Patient, female, 36 years old, mountain peasant, was attacked by a white-brown cocoon tree with white-brown cocoon when it was cut in high mountains on October 30, 1991 and hit the left eye. Minutes, because the left eye is still not working, stop working to go home the next day the left eye redness, tears, blurred vision, to the local medicine clinic to pick a few fine burr needle .20 days after injury gradually improved. After the left eye repeatedly red, tears, blurred vision 3 times, each about about half a month, are naturally better. November 1, 1993 to our hospital, outpatient visual acuity left: 1.2, conjunctival mild hyperemia, Conjunctival hypertrophy within the junction, through the hypertrophic conjunctiva can be seen under the conjunctiva, sclera there are 11 black burr, some burr into the deep sclera at the tip, at 9:00 at the corneal pitting 2 burr, burr around the small pieces of corneal opacities, corneal small Pigment KP number of points, 10:00 at the iris pieces of atrophy focus, central burr 1. Pupil greater than the right eye, about 5mm, light reflection, crystal, vitreous transparent, no foreign body or focus fundus, right eye normal. Picked under the lamp under the conjunctival cocoon burr 4, with antibiotics, corticosteroid eye drops from the hospital, ordered