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徐××女46岁住院号94969。左眼胀痛,虹视,视物不清3个月。1984年11月3日入院。无眼外伤和其他眼病史,无家族病史。视力:右眼1.5,左眼0.6。左眼结膜无充血,角膜透明,角膜后壁有色素沉着。无房水闪光。颞侧及鼻下方虹膜有扇形脱色区,可透见虹膜基质呈丝网状。上内方虹膜有一2×2mm小孔。瞳孔向颞上方移位,瞳孔对光反应迟钝。晶体前囊有点状色素附着。眼底正常。眼压35.75mmHg。视野正常。前房角镜检查:左眼虹膜周边部散在的粘连于小梁上部和Schwalbe氏线附近。右眼正常。诊断:左眼原发性进行性虹膜萎缩。左眼眼压用药无效。1984年11月30日在局麻下行小梁切除术。术后随访半年,眼压17.30mmHg左右。
Xu × × female 46-year-old hospital number 94969. Left eye pain, rainbow, blurred vision 3 months. November 3, 1984 admission. No eye injury and other eye history, no history of family history. Eyesight: 1.5 for the right eye and 0.6 for the left eye. Left conjunctival hyperemia, corneal transparency, corneal posterior wall hyperpigmentation. No room flash. Temporal and nasal iris fan sector decolorization area, see the iris stroma was mesh-like. The inner iris has a 2 × 2mm hole. Pupil shift to the superior temporal, pupillary light response slow. Crystal anterior capsule a little pigmentation attached. Fundus normal. Intraocular pressure 35.75mmHg. Field of vision is normal. Gonioscopy: Left eye iris peripheral scattered in the adhesion of trabecular upper and Schwalbe line near. Right eye is normal. Diagnosis: Primary left anterior iris atrophy. Left eye intraocular pressure medication is invalid. November 30, 1984 under local anesthesia Trabeculectomy. Follow-up six months after surgery, intraocular pressure 17.30mmHg or so.