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患者张××女46岁病历号:26689 左眼视物不清两个月。右眼视力0.2,左眼手动。双眼高度近视。右眼前后节正常。左眼角膜透明,瞳孔对光反射迟钝,晶体透明,玻璃体混浊。用三面镜检查发现,左眼颞侧12—6点视网膜呈灰色隆起,上方隆起约+10D 左右,呈球状遮盖丁视乳头上缘。于1点半方位距角膜缘13mm 处有-3/4PD 大小的圆形裂孔。黄斑部脱离,黄斑中央区有-1/3PD 大小裂洞,视网膜下液较多。诊断:左眼孔原性视网膜脱离,黄
Zhang × × female patients 46-year-old medical record number: 26689 left eye blurred vision for two months. Right eye 0.2, left eye manually. High myopia eyes. Right and wrong before and after the section normal. Transparent left cornea, pupil light reflex slow, crystal transparent, vitreous opacity. With the three-mirror examination revealed that the temporal left eye temporal retina was gray uplift 12-6, uplift about + 10D above, was spherical cover Ding optic disc on the edge. At 1 o’clock and half from the corneal edge 13mm at -3 / 4PD size circular hole. Macular detachment, macular central area of -1 / 3PD size of the hole, subretinal fluid more. Diagnosis: left eye retinal detachment, yellow