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患者男性,15岁,自幼双眼视力差,畏光。1992年5月30日因左眼胀痛伴头痛1天而入院。患儿系第二胎足月顺产,父母非近亲婚配,家庭成员均无类似病史。体检未见异常。眼部检查:视力:右眼0.08,左眼眼前手动。眼压:右眼2.74kPa(1kPa=7.5mmHg),左眼6.25kPa。双眼眼球水平震颤,右眼角膜透明,横径10mm。前房清,肉眼未见虹膜,晶体混浊并向上移位,未见悬韧带附着,玻璃体透明。眼底视盘界清,色好,A/V=2/3,视网膜颜色正常,未见黄斑和中心凹反光。左眼结膜充血,角膜上皮水肿混浊,横径11mm,未见虹膜,晶体混浊、异位。入院后,给予甘露醇、醋氮酰胺、噻吗心安等,左眼眼压降至2.74
Male patient, 15 years old, his eyesight poor childhood, photophobia. May 30, 1992 due to left eye pain with headache 1 day and admitted to hospital. Pediatric second-term fetus full-term follow-up, non-relatives of parents and marriage, family members have no similar history. No abnormal physical examination. Eye examination: visual acuity: right eye 0.08, left eye in front of manual. Intraocular pressure: right eye 2.74kPa (1kPa = 7.5mmHg), left eye 6.25kPa. Eye level tremor eyes, right cornea transparent, horizontal diameter 10mm. Clear anterior chamber, the naked eye no iris, crystal opacity and upward displacement, no hanging tape attached, vitreous transparent. Fundus disc clear, good color, A / V = 2/3, normal retinal color, no macular and foveal reflex. Left conjunctival hyperemia, corneal epithelial edema turbid, diameter 11mm, no iris, crystal opacity, ectopic. After admission, given mannitol, acetazolamide, timolol, left eye intraocular pressure dropped to 2.74