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例1 患者女性55岁农民左眼球进行性突出10年。体检未见异常。左眼视力1(五分记录)。眼球突出度:14mm(?)32mm。眼球向前上方突出,运动受限。眼睑运动困难,结膜轻度充血,角膜透明,前房清。瞳孔直径约5mm,对光反应迟钝。视盘色泽苍白,边缘清楚,筛板模糊不清。视网膜动脉细.在眶内偏外侧可触及似眼球大小的新生物,表面光滑,质地中等,固定。右眼正常。CT 检查显示左眼眶被新生物占据,眼球被挤向鼻上方。诊断:左眼眶内肿瘤。(在全麻下行冠状头皮瓣径路切开眶外壁,摘除眶内肿瘤术)。例2 患者女性28岁农民右眼球进行性
Example 1 The female 55-year-old farmer left the eyeball for 10 years. No abnormal physical examination. Left eye vision 1 (five minutes). Exophthalmos: 14mm (?) 32mm. The eyeball protrudes forward and upward, and movement is limited. Eyelid movement difficult, conjunctival mild congestion, corneal transparency, anterior chamber clear. Pupil diameter of about 5mm, slow response to light. The optic disc has a pale color with clear edges and the screen is blurry. The retinal artery is thin. The new creature with the size of an eyeball can be touched on the lateral side of the orbit. The surface is smooth, medium in texture and fixed. The right eye is normal. The CT examination revealed that the left eyelid was occupied by a new creature and the eyeball was squeezed over the nose. Diagnosis: Left eye orbital tumor. (In general anesthesia, the coronal scalp flap cuts the outer wall of the fistula and removes the orbital tumor). Case 2 Patient female 28-year old farmer with right eyeball progressive