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患者黄X有,男,63岁,住院号1116.右眼视物不清40余年.于1995年15日以“右眼外伤性白内障、结膜异物”收住院.不能忆及眼部外伤史.检查右眼视力33cm数指,结膜无充血,角膜透明,前房正常,巩膜2点钟处距角巩膜缘12mm有一黑色异物.虹膜纹理清,瞳孔等圆,直径3.5mm,光反射迟钝.晶状体呈白色混浊晶体前囊有少许色素沉着.诊断为外伤性白内障.于12月18日施行晶状体囊外摘除术.破囊后发现有一棕褐色异物,用虹膜镊夹出一 13×1.5mm的木质异物,晶体皮质钙化,呈灰白色硬块,玻璃体液化.后经证实异物为棘针.术后详细追问病史,回忆起15岁时(1948年)与其兄用棘针条抽打玩耍时右眼曾被棘针刺伤过,当时右眼红、疼痛、流泪,因家穷一直未得到治疗.经过
Patient Huang X, male, 63 years old, hospital number 1116. Right eye visual unclear for more than 40 years in 1995 on the 15th to “right eye traumatic cataract conjunctival foreign body” admitted to hospital .Can not recall the history of eye trauma. Check the right eye vision 33cm refers to the number refers to the conjunctiva without congestion, corneal transparency, anterior chamber normal sclera 2 o’clock at a distance of 12mm from the scleral edge of a black foreign body iris texture clear pupil circle, diameter 3.5mm, light reflex slow lens. White turbid crystal Anterior capsule a little pigmented diagnosis of traumatic cataract in December 18th implementation of extracapsular lens removal after the capsule was found to have a tan foreign body with iris tweezers out of a 13 × 1.5mm wood Foreign body, crystalline cortical calcification, grayish lumps, vitreous liquefaction. After the foreign body was confirmed as thorn needle. Detailed history after the recall, after recalling the age of 15 (1948) with his brother playing with a thorn when the right eye had been spines Acupuncture hurt, then the right eye red, pain, tears, because of poor family has not been treated.