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发现一例12岁男性双眼Coats病的患儿。4岁时双侧听力消失,来诊前3～4年来表情呆板,胸、腹肌无力。限部检查:视力:右20/25,左20/80。裂隙灯检查:房水闪光右眼+,左++。双眼眼压均为14mmHg。眼底:右眼9点赤道部前视网膜毛细血管扩张,并有水肿和渗出;左眼3、4、5和8点赤道部前视网膜血管病变及水肿、渗出斑。1966～1967年,患者曾接受视网膜血管氙弧光凝,右眼3次,左眼2次,其后视网膜渗出明显减轻,视力右限20/25,左眼20/50。但肢体近端肌无力加重,并出现脊柱前凸。1972年诊断为面肩胛肱型肌营养不良症,在其后的数年内,对复发的视网膜病变血管又进行了光
A 12-year-old male with Coats’ disease was found. Bilateral hearing loss disappeared at age 4, 3 to 4 years before the visit to look dull, chest, abdominal weakness. Limit check: eyesight: right 20/25, left 20/80. Slit lamp examination: room water flash right eye +, left + +. IOP for both eyes were 14mmHg. Fundus: Right eye 9:00 equatorial retinal capillaries dilated, and edema and exudation; left eye 3, 4, 5 and 8 points before the equatorial retinal vascular lesions and edema, exudation spots. From 1966 to 1967, the patient underwent xenon arc photocoagulation of the retinal vessels 3 times in the right eye and 2 times in the left eye. Then the retinal exudation was significantly reduced. The right eye was 20/25 and the left eye was 20/50. However, proximal limb muscle weakness, and the emergence of lordosis. Diagnosis of facial and scapulohumeral muscular dystrophy in 1972, followed by a few years, the recurrence of retinal vascular disease and light