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患者男性54岁农民于1987年4月5日入院。近一个月发现右眼瞳孔区有一肿物,逐渐增大,视力减退。右眼视力0.3,左眼视力0.7,双眼均不能矫正。右眼虹膜3—7点处有5×5mm肉样肿物,由3个半月形结节融合而成,其上缘有多量色素,下缘隆起,表面光滑,呈黄灰白色。其表面有大量新生血管,在房水中有大量絮状物。肿物外周的虹膜纹理不清,瞳孔大部被肿物遮盖,对光反射迟纯,散瞳后瞳孔边缘不整,虹膜与晶体粘连。晶体前囊有大量点状褐色色素沉着,KP(+)。入院后,肿物发展很快,占前房2/3.视力光感。入院后6天,在局麻下于角巩缘3—7时方位切开,将肿物及周围虹膜全部切除,前房有少量出血.用生理盐水反复冲洗。术终将肿物
Patient Male The 54-year-old farmer was admitted on April 5, 1987. Nearly a month found a right eye pupil area has a tumor, gradually increased, vision loss. Right eye 0.3, left eye vision 0.7, both eyes can not be corrected. Right iris 3-7 points at 5 × 5mm meat-like tumor, formed by the fusion of three meniscus nodules, the upper edge of the amount of pigment, the lower edge of the uplift, the surface smooth, yellowish gray. The surface of a large number of new blood vessels, a large number of floaters in the aqueous humor. Peripheral iris texture unclear, the majority of the pupil was covered by the tumor, pure light reflex, mydriasis pupil edge irregularities, iris and crystal adhesion. The anterior capsule has a large number of punctate brown pigmentation, KP (+). After admission, the tumor developed rapidly, accounting for 2/3 of the anterior chamber. 6 days after admission, under local anesthesia at the angle of the margin of the margin 3-7 incision, the tumor and the surrounding iris all resected, anterior chamber a small amount of bleeding. Repeatedly rinsed with saline. Surgery will eventually tumor