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患者董×男42岁住院号914154 左眼视力骤降10余天,视力右眼5.1,左眼4.0。双眼前段无改变。左眼玻璃体呈絮状混浊,模糊可见颞下视网膜呈青灰色隆起,高+5.00D,血管爬行其上。三面镜查眼底未见裂孔。诊断为左眼视网膜剥离、左眼玻璃体混浊。给予激素和中药治疗。1月后,左眼症状加重。左眼胀痛伴剧烈头痛、恶心、呕吐2天。左眼视力眼前20cm 指数,左眼轻度混合充血,角膜水肿,有灰白色kp,瞳孔约4.5mm,对光反射迟钝。玻璃体混浊减轻,颞下视网膜呈灰黑色隆起,直径约4pD。B 超检查提示左眼球内占位性病变、脉络膜黑
Patient Dong X male 42-year-old hospital number 914154 left eye vision loss for more than 10 days, visual acuity 5.1, left eye 4.0. No change in the anterior segment of both eyes. Left vitreous was flocculent turbidity, fuzzy visible temporal blue retina was gray uplift, high + 5.00D, vascular crawling on it. Three-dimensional examination of the fundus did not see the hole. Diagnosed with left-sided retinal detachment, left-eye vitreous opacity. Give hormones and Chinese medicine treatment. After January, left eye symptoms worsened. Left eye pain with severe headache, nausea, vomiting for 2 days. Left eye before 20cm index, mild mixed left eye hyperemia, corneal edema, gray kp, pupil about 4.5mm, slow light reflex. Vitreous opacity alleviated, temporal inferior retina was gray-black uplift, diameter of about 4pD. B-ultrasound prompted the left ocular mass lesions, choroid black