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患者,男,42岁,右眼视蒙、闪光两个月,于11—03—21入院。既往身体健康,双眼近视眼,无眼外伤及急、慢性眼病史。全身检查未见异常。眼科检查:视力:右眼1米光感,左眼0.2(矫正:10X—3.50D)。眼压:右眼1.76kPa,左眼2.51kPa。右眼角膜后KP(+),房水闪辉(+),玻璃体内可见尘状飘浮物,眼底视网膜呈漏斗状全脱离,部分遮离,部分遮挡视神经盘。左眼前段正常,眼底呈豹纹状。双眼散瞳包扎卧床,口服中药五皮饮三日后,右眼网膜隆起呈驼峰样(±10D),赤道部时位见一圆形裂孔约1/8PD大小;12时位一新月形裂孔约1/6PD大小,未见新生血管。4月2日局麻下行右眼裂孔冷凝、巩膜外充填放液术。术后第3日查:眼底部分网膜平状,下方赤道部及周边部网膜有浅脱离,视力0.02。术后12日视网膜球形隆起,
Patient, male, 42 years old, right eye Meng, flash for two months, admitted on 11-03-21. Past physical health, binocular myopia, no eye trauma and acute and chronic eye history. No abnormalities in the whole body examination. Eye examination: visual acuity: right eye 1 meter light sense, left eye 0.2 (correction: 10X-3.50D). Intraocular pressure: right eye 1.76kPa, left eye 2.51kPa. The right cornea KP (+), aqueous humor (+), visible dust-like floating objects in the vitreous, retinal funnel-like retinal detachment, partially obscured, partially obstruct the optic disc. Left anterior normal, lenticular fundus was lenticular. Eyes mydriasis bandaged, oral administration of Chinese medicine five drinks three days later, the right eye retinal uplift showed a hump sample (± 10D), the equator seen a circular hole about 1 / 8PD size; a bit of a crescent-shaped hole About 1 / 6PD size, no new blood vessels. April 2 local anesthesia right eye socket condensation, scleral filling and draining surgery. On the 3rd postoperative examination: part of the retinal flat fundus, the lower equator and peripheral retinal detachment, visual acuity 0.02. After 12 days of retinal bulge,