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张某,男性、40岁,住院号10043。双眼高度近视,三年前左眼突然视物不见,未经治疗。六天前在田间插秧时发现右眼前有黑影。而于1985年6月26日入院。检查:右眼,视力数指/50cm,眼压7.10mmHg,角膜(-),房水闪光(+),瞳孔(-),晶状体透明。眼底以-30D可见视神经乳头。3至10点钟视网膜脱离,后极部视网膜表面膜形成,黄斑部可见一纵椭圆形裂孔约1/5PD大小。左眼视力光感,光定位不确切,眼压<3.96mmHg,晶状体混浊。眼底不能窥入。诊断:1.右眼裂孔源
Zhang, male, 40 years old, hospital number 10043. High myopia eyes, three years ago, the sudden disappearance of the left eye, untreated. Six days ago when I transplanted rice in the field, I found a shadow in front of my right eye. And in June 26, 1985 admission. Check: the right eye, visual acuity refers to / 50cm, intraocular pressure 7.10mmHg, cornea (-), aqueous humor (+), pupil (-), lens transparent. Retinal optic nerve head can be seen at -30D. 3 to 10 o’clock retinal detachment, posterior pole retinal surface membrane formation, macular visible a vertical oval-shaped hole about 1 / 5PD size. Left visual acuity, light positioning is not exact, intraocular pressure <3.96mmHg, lens opacity. Fundus can not see. Diagnosis: 1. Right eye hole source