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患者男,59岁,左眼突然视物不见1个月。眼部检查:左眼视力:光感,光定位不准;非接触眼压计测得眼压:2.394 kPa,左眼结膜混合性充血,角膜轻度水肿混浊,色素性及灰白色尘状 KP(+),房水闪辉,虹膜表面散在积血及灰白色脓样物质,下方较多,上方虹膜2～3个灰白色小结节,呈干酪样,下方虹膜弥漫隆起,瞳孔区灰白色脓样物质,晶体全白色混浊。眼底窥不入。右眼视力1.0,眼前后段检查均未见异常。全身体检无异常,全身浅表淋巴结无肿大。B 超检查:左眼虹膜睫状体普遍增厚,睫状体呈致密阴影。玻璃体腔内密集小光点运动活跃。临床诊断:左眼内肿瘤?左眼内炎症?左眼并发性白内障。行“左眼球摘除+义眼座
Male patient, 59 years old, suddenly disappeared in the left eye for 1 month. Eye examination: left eye vision: light perception, light positioning is not allowed; non-contact tonometer measured intraocular pressure: 2.394 kPa, left conjunctival hyperemia, corneal mild edema, pigmentation and dusty KP ( +), Aqueous shimmer, the surface of the iris scattered in the hemorrhage and gray purulent material, more below the upper iris 2 to 3 small white nodules, was cheese-like, the underlying iris diffuse uplift, the pupil area of gray purulent material, Crystal white and turbid. Peeping into the eyes. Right eye vision 1.0, before and after the examination were no abnormalities. No physical examination, systemic superficial lymph nodes without swelling. B-ultrasound: the left eye iris ciliary body generally thickening, ciliary body was dense shadow. Vitreous cavity intensive small spots active movement. Clinical diagnosis: Left eye tumor? Left eye inflammation? Left eye complicated with cataract. Line ”left eye removal + eyelid