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男,28岁。因右眼视物模糊,稍胀不适四年,并发现右眼黑珠上有白球状物两个月。视力右眼0.2,左眼1.2,右眼轻度睫状充血。裂隙灯检查,角膜表浅层小片状混浊,Fe(一),有多个大小不等黄白色羊脂状KP,最大者约绿豆大小,呈不规则形散布在角膜下半部;Tyndall氏征(一);虹膜纹理不清,瞳孔全部后粘连,虹膜大环处排着大小不等、形态不一、高低不同的白色和粉红色的泡状结节突起,表面稍有光泽,附着多少不等的虹膜色素,并有新生血管呈分枝或网状通过结节内;瞳孔区有灰白色膜状物;眼底无法窥见。左眼无充血,晶体表面有少量虹膜色素沉着,视网膜呈不洁状,周边视网膜可见模糊的淡黄白色片状渗出物,融合成曲线状,网膜血管从其上通过,远端小血管有屈曲变形。
Male, 28 years old. Due to the blurred vision of the right eye, slightly discomfort for four years, and found the right eye black beads on the white ball for two months. Visual right eye 0.2, left eye 1.2, right eye mild ciliary congestion. Slit lamp examination, corneal superficial platelet opacity, Fe (a), there are several sizes ranging from yellow-white suet KP, the largest about the size of mung bean, was irregularly distributed in the lower half of the cornea; Tyndall’s Sign (a); iris texture is unclear, the pupil all the adhesion, the iris ring arranged in different sizes, different shapes, different levels of white and pink bubbly nodules protruding, the surface a little luster, how much attachment Ranging from iris pigment, and neovascularization showed branches or reticulate through the nodules; pupil area with gray film; the fundus can not glimpse. No congestion of the left eye, the surface of the crystal a small amount of iris pigmentation, the retina was unclean, the surrounding retina visible blur yellow flake white exudate, fusion into a curved line, from the retinal vessels through it, distal small blood vessels Have buckling deformation.