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刘某,女,54岁。因右眼红痛,视物不清伴头痛2月余,于1990年3月6日来我院门诊就诊。既往健康,否认家族史及外伤史,21岁结婚,配偶健康,婚后生2男1女,月经史:18((3~5)/(03))52。查体:心肺正常,全身表浅淋巴结未触及,右眼视力0.02,眼压7.5/2=5.60kPa,混合性充血,角膜呈雾状混浊,前房轴浅,Tyndall(+),瞳孔欠圆,对光反应消失,虹膜见萎缩灶,鼻侧见两个虹膜孔、晶体轻度混浊,眼底朦胧可见,C/D不显,左眼视力0.9,眼压5.5/5=2.31kPa,充血(-),角膜透明,房水(-),瞳孔正圆,对光反应(+),虹膜纹理清晰,眼底视乳头色正常,边界清,中心反光可见。房角N_1P_1,治疗给20%甘露醇静点,50%甘油口服,0.5%Timolol 点眼,Diamo×0.25口服,测眼压5.5/3=3.24kPa,角膜雾状水肿减轻,房角镜检查,9~3点处周边前粘
Liu, female, 54 years old. Due to right eye pain, visual problems with headache more than 2 months, March 6, 1990 to our hospital clinic. Past health, deny family history and history of trauma, 21-year-old married, spouse health, married men and women 2 men and 1, menstrual history: 18 ((3 ~ 5) / (03)) 52. Examination: normal heart and lungs, systemic superficial lymph nodes not touched, right eye visual acuity 0.02, intraocular pressure 7.5 / 2 = 5.60kPa, mixed hyperemia, corneal haze, anterior chamber axis shallow, Tyndall (+), pupil underdone , The disappearance of the light reaction, the iris see atrophy, the nose see the two iris holes, crystal mild opacity, faint eyes, C / D was not significant, left eye vision 0.9, intraocular pressure 5.5 / 5 = 2.31kPa, congestion -), corneal transparency, aqueous humor (-), pupil is round, light response (+), clear iris texture, normal ocular fundus, clear boundary, central reflex visible. Angle N_1P_1, treated with 20% mannitol, 50% glycerol orally, 0.5% Timolol eyelid, Diamo × 0.25 orally, intraocular pressure 5.5 / 3 = 3.24kPa, corneal edema, gonioscopy, 9 ~ 3 o’clock around the front sticky