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患者男,68岁。因间歇性左眼胀痛伴视力下降4个月,加重4d入院。入院专科检查:右眼球萎缩,左眼视力数指/眼前,结膜充血、水肿,角膜水肿,角膜后沉积物(++),前房极浅,瞳孔散大约7mm,对光反射消失,晶体混浊,眼底窥不进,左眼眼压42.12mmHg。入科诊断:左眼急性闭角性青光眼,右眼球萎缩。入科后予缩瞳、20%甘露醇、醋氮酰胺等对症治疗后,左眼疼痛加重,伴左侧头痛。查体:左眼结膜充血、水肿,角膜水肿,角膜后沉积物(++),Ⅲ度浅前房,
Male patient, 68 years old. Due to intermittent left eye pain with decreased visual acuity 4 months, increased 4d admission. Admission specialist examination: the right eye atrophy, the left eye power refers to / immediate, conjunctival hyperemia, edema, corneal edema, corneal deposition (++), anterior chamber very shallow, mydriasis about 7mm, the light reflection disappeared, crystal opacity , Peep eyes do not enter, left eye intraocular pressure 42.12mmHg. Diagnosis: Left eye acute angle closure glaucoma, right eye atrophy. Into the department to the miosis, 20% mannitol, acetazolamide and other symptomatic treatment, the left eye pain increased, with left headache. Physical examination: left conjunctival hyperemia, edema, corneal edema, corneal deposition (++), Ⅲ degree shallow anterior chamber,