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眼外伤后眼内容骨化屡有报道,但非外伤所致者尚少见,现遇1例,报告如下:患者男,86岁,农民,住院号36525.28岁时不明原因右眼胀痛,视物不见,9天后疼痛自行缓解,无视力(未诊治).无明显外伤史.此后病情一直稳定.2月前右眼持续性剧痛伴眼红、流泪,因保守治疗不能控制而行眼球摘除术.术前检查:患者一般情况良好.视力右眼无光感,左眼1.0.右眼球轻度萎缩,睫状部压痛明显,眼位正常,活动良好,睫状充血(++),角膜透明,前房正常,KP(-),Tyn(-),虹膜萎缩,晶体透明,中下方后玻璃体可见黄白色隆起物向前凸起,表面无血管,眼底不能窥及.眼压:右眼T_(-1),左眼Tn.术前诊断:右眼球内赘生物,葡萄膜炎,眼球萎缩.手术所见:眼球完整,巩膜无外伤痕迹,周围无粘连,眼球壁硬度正常.病理检查(病理号91—1260):大体:眼球完整,内含一团骨性物.镜下:角膜上皮内炎细胞浸润,巩膜纤维增厚,
Ophthalmology Ophthalmology Ophthalmology Abstract / Summary: Request the full-text of this thesis Objective: No pain, nine days after the pain relief, no vision (no diagnosis and treatment.) No obvious history of trauma. Since then the condition has been stable .2 months ago persistent pain in the right eye with jealous, tearing, conservative treatment can not control the eye enucleation. Preoperative examination: the patient generally good visual acuity right eye no light perception, left eye 1.0 right eyeball slight atrophy, ciliary tenderness, normal eye position, good activity, ciliary hyperemia (++), corneal transparency, Anterior chamber normal, KP (-), Tyn (-), Iris atrophy, the crystal is transparent, the lower part of the vitreous body visible yellowish white bulge forward bulge, the surface of the blood vessels, the fundus can not peep. -1), left eye Tn. Preoperative diagnosis: the right eyeball neoplasms, uveitis, atrophy of the eye. Surgical findings: complete eye, no scleral trauma marks, no adhesions around the eye wall hardness .Pathological examination (pathology No. 91-1260): General: complete eye, contains a mass of bone objects. Microscope: corneal epithelial inflammatory cell infiltration, scleral fiber thickening,