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患者男,51岁,因双眼视力渐减伴视物变形7年,右眼视力明显减退1年,左眼症状加重2个月于1994年3月来诊。一般情况好,体格检查未见异常。右眼视力眼前数指,左眼4.4。双外眼正常,屈光间质清晰。双眼底围绕视乳头可见一色素环,由此环各发出5条暗褐色条纹,呈不规则放射状向周边部伸展,逐渐变细而终止。条纹宽窄不等,长短不一,弯曲有分枝,状如血管。右眼后极部可见灰褐色团块状脉络膜萎缩灶,左眼黄斑区大块状出血,伴有硬性渗出。眼压正常,视野检查绝对性中心暗点。眼底血管荧光造影:双眼眼底血管样条纹伴黄斑变性。
Male patient, 51 years old, due to binocular vision diminished with visual distortion for 7 years, visual acuity was significantly reduced in 1 year, left eye symptoms exacerbated in 2 months in March 1994 to the clinic. Generally good, no abnormal physical examination. Right eye vision refers to the number of fingers, the left eye 4.4. Double outer eye normal, clear refractive quality. Eyes around the optic disc visible a pigment ring, which ring issued five dark brown stripes, irregular radial radial extension to the periphery, tapered and terminated. Stripe width ranging from different lengths, curved branches, like blood vessels. The posterior pole of the right eye shows a grayish-brown choroidal atrophy, macular block in the left eye with massive exudate. Normal intraocular pressure, visual field of absolute darkness check. Fundus fluorescein angiography: bilateral ocular fundus with macular degeneration.