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单纯性青光眼是门诊常见的眼病之一,只要按眼科系统检查一般不会漏诊或误诊,如同时合并高度近视,因有玻璃体混浊,视盘色淡,边界不规则,生理凹陷大,有时会忽视青光眼的存在,今就我们遇到的高度近视合并单纯性青光眼的病例报告如下。例1 靳××女62岁双眼视物不清40年,近几年视力明显下降,有飞蚊症,先后在我门诊及外地某医院多次检查诊为高度近视、玻璃体混浊、白内障。经肌注眼明、安妥碘、透明酯酸酶等药无效,半年来生活不能自理而来诊。检查:右眼颞侧2m
Simple glaucoma is one of the common eye disease outpatient, as long as the ophthalmic system according to the general inspection will not miss or misdiagnosed, such as high myopia merged at the same time, because of vitreous opacity, disc pale, irregular boundaries, physiological depression, and sometimes ignore glaucoma Of the existence, now we encounter high myopia simple glaucoma cases are as follows. Example 1 Jin × × female 62-year-old binocular vision is unclear for 40 years, visual acuity decreased significantly in recent years, there are mosquito, has repeatedly in my clinic and field hospital for a diagnosis of high myopia, vitreous opacity, cataracts. After intramuscular injection Ming, diazepam, transparent esterase and other drugs ineffective, six months of life can not take care of themselves. Check: right temporal 2m