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患者,男,26岁。主因双眼视物模糊,偶伴头痛10年,加重1年。于1987年4月4日收住院。曾先后去县、市级医院行神经内科、眼科检查均未能确诊。眼部检查:视力双眼0.1,近视力0.1,不能矫正。双眼前节不充血,角膜透明,前房深浅正常,周边前房约1CT,虹膜纹理清。眼底镜检查:双视盘边缘清,C/D=0.8,动脉:静脉=1:3,血管交叉压迫征阴性,乳头颞侧上、下侧可见视神经层楔状缺损,中心反射存在。眼压:右2.3kPa,左2.48kPa。眼压描记正常。房角开放。饮水试验及日曲线均正常。平面视野生理盲点扩大,球面视野鼻侧缩小。摄颅侧位片正常。诊断为低眼压性青光眼。处理:噻吗心安眼水,每日2次,1％匹罗卡品眼药水,每日2次,交替点眼。口服维生素E丸100
Patient, male, 26 years old. Mainly due to blurred vision binocular, accompanied by headache for 10 years, an increase of 1 year. On April 4, 1987 admitted to hospital. Has successively to the county, municipal hospital neurology, eye examination failed to diagnose. Eye examination: Eyesight 0.1, near vision 0.1, can not be corrected. Anterior segment is not bloody, corneal transparent, anterior chamber normal depth, around the anterior chamber about 1CT, iris texture clear. Fundus examination: binocular disc edge clear, C / D = 0.8, artery: vein = 1: 3, cross-vessel cross negative sign, the temporal side of the nipple visible optic nerve layer wedge-shaped defect, central reflex exists. IOP: Right 2.3kPa, left 2.48kPa. IOP is normal. The corner is open. Drinking water test and daily curve were normal. Blind view of the expansion of the flat field of vision, spherical nasal narrowing. Craniotomy lateral normal. Diagnosed with hypotony glaucoma. Treatment: thimolol eye water, 2 times a day, 1% pilocarone eye drops, 2 times a day, alternately eye. Oral vitamin E pills 100