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例1 女,36岁,因右眼闪光感5个月,上方视野遮挡1个月,1990年11月13日门诊以右眼裂孔性视网膜脱离收入院。人院前18个月曾因双眼视物变形,在某医院诊断为“右眼中心性浆液性脉络膜视网膜病变”。全身检查及血、尿常规正常。眼部检查:视力:右眼0.4针孔0.3,J_7,左眼1.5,J_1。右眼浅层巩膜血管扩张,眼前节正常。玻璃体可见轻度细胞样混浊点。眼底:视乳头充血肿胀。黄斑水肿伴放射状皱褶。下方视网膜呈双半球脱离,视网膜下液体随头位改变流动明显。上方眼底周边部可见脉络膜脱离,赤道部可见多灶性色素增殖与脱色斑伴囊样退变,未见视网膜裂孔。左眼底黄斑区可见放射状皱褶,赤道前后可见环状色素增殖与色素脱失斑。眼压:右眼1.62kPa(1kPa=7.50mmHg),左眼2.30kPa。
Example 1 Female, 36 years old, because the right eye flash for 5 months, the upper field of vision obscured 1 month, November 13, 1990 out-patient to the right eye retinal detachment from the hospital. 18 months before hospital because of double vision distortion, diagnosed in a hospital as “right eye central serous chorioretinopathy ”. Whole body examination and blood, urine routine normal. Eye examination: visual acuity: right eye 0.4 pinhole 0.3, J_7, left eye 1.5, J_1. Right eye shallow scleral vasodilation, anterior segment normal. Vitreous visible mild cell-like cloud point. Fundus: papilla congestion and swelling. Macular edema with radial wrinkles. Below the retina showed a double hemisphere detachment, subretinal fluid flow changes with head position significantly. Choroidal detachment was observed in the peripheral part of the fundus, and multifocal pigment hyperplasia and decolouration were seen in the equator, with no retinal breaks. Radial folds appear in the left fundus and macular area. Cytoplasmic pigment hyperplasia and depigmentation spots are seen around the equator. IOP: Right eye 1.62kPa (1kPa = 7.50mmHg), left eye 2.30kPa.