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马某,女、40岁,农民,因左眼球逐渐突出6年,视力下降3年,于1981年3月7日入院。全身检查未见异常。眼科检查:远视力:右1.0,左0.2。左眼球向正前方突出,突出度(12～23)/(98)毫米(Herter);除上转受限外,其余各方向运动良好,于上方眶缘可触及肿物,位置较深,中等硬度,无压痛。眼球前部未见异常。眼底视神经乳头边界不清,色淡、其颞侧可见小出血点,颞上象限有一支异常弯曲的血管,黄斑部视网膜呈放射状皱纹,中心凹光反射消失。视神经孔与眼眶X片均未见异常,右眼(一)。临床诊断:左眼眶内球后肿物。
Ma Mou, female, 40 years old, farmer, because the left eye gradually prominent six years, vision loss for three years, on March 7, 1981 admission. No abnormalities in the whole body examination. Eye examination: far vision: right 1.0, left 0.2. The left eyeball protrudes directly to the front, with a prominent degree of (12-23) / (98) mm (Herter). Except for the upper limit of rotation, the left eyeball moves well in all directions and has palpable masses on the upper orbital rim with deeper and middle positions Hardness, no tenderness. No abnormal front eyeball. Fundus optic disc edge unclear, pale, visible in the temporal hemispheric bleeding, superior temporal quadrant an abnormally curved blood vessels, macular retina showed radial wrinkles, foveal reflex disappeared. Optic nerve and orbital X-ray were no abnormalities, the right eye (a). Clinical diagnosis: left orbital ball after the tumor.