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作者报告一例典型的老年性黄斑变性合并视乳头明显隆起,作者认为这样的病例应与视乳头水肿鉴别。患者女性76岁于1979年10月右眼行白内障囊内摘出术并植入人工晶体,术后视力不佳。1980年2月取出人工晶体。同时左眼做白内障囊内摘出术。1980年6月患者主诉2个月来双眼视力下降。检查:矫正视力右20/60,左眼20/30。右眼虹膜后粘干玻璃体表面而致瞳孔不规则。裂隙灯检查前房内KP及闪光均为阴性。无玻璃体疝。眼底所见:双眼老年性黄斑变性,右眼有视网膜出血,双眼有玻璃疣。左眼视乳头显水肿。患者体健,未服用药物。眼底荧光血管造影检查:显示双眼黄斑部有新生血管膜,左眼视乳头着染尤以鼻侧明显。神
The authors report a case of typical age-related macular degeneration with prominent papillae, the authors believe that such cases should be identified with papilledema. Female patient 76 years old In October 1979 the right line cataract extraction and intraocular lens implantation, postoperative poor vision. February 1980 Remove the intraocular lens. At the same time, left eye cataract extraction surgery. June 1980 patients complained of binocular vision decreased in 2 months. Check: correct visual acuity 20/60, left eye 20/30. After the right iris sticky dry vitreous surface caused by pupil irregular. Slit lamp examination before the room KP and flash were negative. No vitreous hernia. Seen in the fundus: eyes with age-related macular degeneration, retinal hemorrhage in the right eye, eyes with drusen. Left eye papillae showed edema. Patient healthy, not taking drugs. Fundus fluorescein angiography examination: shows the macular neovascularization of both eyes, the left eye, especially with nasal papillae staining. God