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患者,女,33岁,因双眼视力下降伴头痛半年,近二个月失明,于1984年10月17日入院。半年前双眼视力逐渐下降,伴额部与枕部闷痛。近一个月加重。1984年8月31日来我院眼科就诊,视力:右0.08,左0.1(皆不能矫正)。前眼部正常。眼底:双视乳头颞侧色淡,黄斑部轻度水肿,有点状渗出,中心凹反射存在。眼压5.5/5=17mmHg(双眼同值)诊断为双眼中心性视网膜炎并按此病治疗。 1984年10月10日来院随诊,主诉视力继续下降伴有头痛。检查,视力:右眼前手动,左0.06(都不能矫正),角膜透明,前房清楚,瞳孔在光持续照射下先缩小后又自行散大,晶体透明,眼底:双视乳头界限清
The patient, female, aged 33, was hospitalized on October 17, 1984 because of a decrease in binocular vision with headache for six months and blindness in the past two months. Half a year ago, binocular vision decreased gradually, with the Ministry of head and pillow painful. Increased in recent months. August 31, 1984 came to our hospital ophthalmology, visual acuity: right 0.08, left 0.1 (can not be corrected). Anterior eye is normal. Fundus: Temporal bilateral binocular light color, macular mild edema, a little exudate, foveal reflex exists. Intraocular pressure 5.5 / 5 = 17mmHg (eyes the same value) diagnosis of binocular central retinitis and treatment according to the disease. October 10, 1984 hospital follow-up, chief complaint of visual acuity continued to decline accompanied by headache. Check, visual acuity: Manual right hand, left 0.06 (can not be corrected), the cornea transparent, clear anterior chamber, the pupil in the light continued to shine after the first reduced and then their own proliferation, crystal transparency, fundus: