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视网膜下囊虫症的诊断,既往主要依据囊尾蚴的特有形态及其蠕动特性。物理及实验室各项检查对诊断的价值有限,只能作为参考。眼底荧光造影检查作为辅助诊断国内尚未见报告。现将我们遇到两例视网膜下囊虫症经眼底荧光造影检查后手术证实的病例报告如下。例1 申××,男,49岁,干部,住院号044。左眼前黑影遮挡视物不清,伴左眼眶痛3个月。在外院曾以玻璃体混浊、色素膜炎给予相应治疗无效。否认食用“米猪肉”,无癫痫、腹痛及便虫史。全身皮肤未见皮下结节,肝脾不大。视力:右眼0.5,+1.00D.S(?)0.5DC×180°→0.8;左眼0.6,不可矫正。左眼灰白色细小KP(++),房水闪光(+),浮游细胞(+)。玻璃体内可见较多灰白色细胞团,后部鼻下方为著。视盘正常,视网膜7:00~8:00方位距视盘4 PD 处可见6 PD 之灰白色半
The diagnosis of subretinal cysticercosis, previous mainly based on the specific morphology of cysticerci and their peristalsis characteristics. Physical and laboratory tests for the diagnosis of limited value, only as a reference. Fundus fluorescein angiography as a supplementary diagnosis has not been reported in China. We now encounter two cases of subretinal cysticercosis by fundus fluorescein angiography confirmed cases of surgery confirmed as follows. Example 1 Shen × ×, male, 49 years old, cadres, hospital number 044. The shadow of the left eye shadow obscure visual unclear, with left orbital pain for 3 months. In the outer court had vitreous opacity, pigmentary meningitis given the corresponding treatment is invalid. Denied the consumption of “rice pork”, no epilepsy, abdominal pain and casualty history. No skin subcutaneous nodules, small spleen and liver. Eyesight: Right eye 0.5, + 1.00D.S (?) 0.5DC × 180 ° → 0.8; left eye 0.6, can not be corrected. Left eye gray small KP (++), aqueous humor (+), planktonic cells (+). More vitreous body visible gray cell clusters, behind the nose for. Optic disc is normal, the retina 7: 00 ~ 8: 00 azimuth from the PD 4 PD visible 6 PD gray white half