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患者女,1l岁。因右眼被沥青块击伤,视物不清1小时,于1990年5月2日急诊入院。眼部检查:视力:右眼20cm 指数,左眼1.0。右眼睑红肿瘀血,结膜睫状充血,角膜清亮,前房积血,深约7mm,瞳孔直径6mm,对光反应迟钝,晶体窥不清,眼压正常。左眼正常。初步诊断:右眼钝挫伤、眼内出血,外伤性瞳孔散大。经静脉滴注甘露醇,地塞米松,肌注止血敏及口服维生素类药物治疗一周后,前房积血大部吸收。裂隙灯检查:右眼晶体前囊完整,后囊于鼻上方处破裂,皮质呈圆锥形向后突出,并局限性混浊,晶体无脱位,玻璃体可见多量片状积血。补充诊断:右眼外伤性白内障。4个月后,晶体全部变混浊,经行晶体玻璃体切割术,出院时矫正视力0.6。
Female patient, 1l years old. Due to the right eye was injured by asphalt block, depending on the material is not clear for 1 hour, on May 2, 1990 emergency admission. Eye examination: visual acuity: right eye 20cm index, left eye 1.0. Right eyelid swelling and bruising, conjunctival ciliary hyperemia, corneal clear, anterior chamber hemorrhage, deep about 7mm, pupil diameter 6mm, slow response to light, crystal peep unclear, normal intraocular pressure. Left eye is normal. Initial diagnosis: right eye blunt contusion, intraocular hemorrhage, traumatic mydriasis. After intravenous infusion of mannitol, dexamethasone, intramuscular bleeding sensitivity and oral vitamin drugs a week later, most of the anterior chamber hemorrhage absorption. Slit lamp examination: the right anterior lens of the anterior capsule is complete, the posterior capsule ruptures at the top of the nose, cortical conical backward prominent, and the limitations of opacity, no dislocation of the crystal, vitreous visible mass hemorrhage. Supplementary diagnosis: Right eye traumatic cataract. After 4 months, all the crystals became turbid, and vitrectomy was performed. The corrected visual acuity was 0.6 at discharge.