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例1 周某,男,34岁,因颜面浮肿,蛋白尿4年尿少4个月,视力下降1个月入院。入院后行透析治疗,每周2—3次。眼科检查:双眼视力指数/50cm,外眼朱见异常,视乳头边界不清,动脉反光强,管壁狭窄,静脉怒张,视网膜有散在放射状出血,黄斑区呈灰白色混浊水肿。诊断:①双眼中央静脉阻塞,②肾性视网膜病变。半个月后视力降至光感,一个月后持续性双眼疼痛伴头痛难以忍受,双眼光感消失,瞳孔缘有明显细小新生血管网,眼底模糊不清,眼压右5.3kPa,左5.8kPa,诊断为新生血管性青光眼,给予噻吗心安眼液点双眼,症状无改善。4个月后双眼出现前部巩膜萄葡肿,角膜呈锥状隆起,眼压T_n+3。冬眠灵奴夫卡因球后注射,仅能暂时缓解疼痛,遂行睫状体冷冻术,-70°每点冷冻1min,术后1周眼痛减轻,眼球变软继而逐渐萎缩。
Example 1 week, male, 34 years old, due to facial edema, proteinuria 4 months less urine 4 months, decreased visual acuity 1 month admission. Admission dialysis treatment, 2-3 times a week. Eye examination: binocular visual acuity index / 50cm, outside the eye Zhu see abnormalities, unclear optic disc boundary, strong arterial reflex, narrow wall, vein irritation, scattered radial hemorrhage in the retina, macular area was gray turbid edema. Diagnosis: ① binocular central vein obstruction, ② renal retinopathy. Half a month after the visual acuity reduced to light, a month after persistent binocular pain with unbearable headache, light perception disappeared, the pupil edge of the obvious small neovascular network, fundus blurred, intraocular pressure 5.3kPa right, left 5.8kPa , Diagnosed with neovascular glaucoma, given timolol eyesight eyes, no improvement in symptoms. Four months later, his eyes had anterior scleral hydrops, and the cornea showed a conical bump with an intraocular pressure T_n +3. After the injection of the sleeping Ling Ling Nuoqiu ball, can only temporarily relieve pain, undergo ciliary body cryoablation, freezing point of -70 ° per point 1min, 1 week postoperative eye pain relief, the eyeball then softened.