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男性,54岁。因双眼红痛1天于2016年7月28日就诊于北京同仁医院。患者1天前,因感冒后突发双眼红痛,伴畏光、流泪,视力下降。既往史:近1年来患者多次出现因感冒后出现双眼红痛等情况,当地医院诊断为病毒性角膜炎,局部使用抗病毒等相关药物病情好转。眼科检查:视力双眼0.8,眼压正常,双眼刺激征(++),结膜充血(++),结膜囊无明显分泌物,角膜上皮弥散性点状混浊,角膜荧光素染色阳性(图1)。余未见明显异常。耳前淋巴结无肿大压痛。角膜共聚焦显微镜检查:双眼角膜病灶区上皮层可见多量高反光颗粒
Male, 54 years old. One day due to bilateral red pain on July 28, 2016 for treatment at Beijing Tongren Hospital. Patients 1 day ago, due to a sudden onset of red eyes after a cold pain, with fear of light, tearing, decreased visual acuity. Past history: In the past year, many patients suffered from binge pain after the onset of redness and other conditions. The local hospital diagnosed with viral keratitis, topical use of anti-viral drugs and other related conditions improved. Eye examination: eyesight 0.8, normal intraocular pressure, irritation of both eyes (++), conjunctival hyperemia (++), no obvious secretion of conjunctival sac, corneal epithelial diffuse punctate opacity, positive corneal fluorescein staining (Figure 1) . I have seen no obvious abnormalities. Ear before the lymph nodes no swelling tenderness. Corneal confocal microscopy: corneal focal area of the cortex can be seen in the large number of high-reflective particles