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患者男9岁其父代诉因眼红,眼内有肿物4天,于1990年3月12日入院。从无眼红痛及外伤史,全身检查未见异常。眼部检查:右眼视力1.5、左1.5。右下睑内翻,睫毛触及角膜下缘,球结膜轻度充血,角膜下缘轻度混浊,前房中等深度。虹膜8～9点处有一4×3×2mm 大小的肿物,较虹膜颜色稍深,其上可见血管。瞳孔不圆,对光反应好,晶体透明,眼底未见异常。临床诊断:右眼虹膜囊肿,睑内翻,角膜斑翳。于3月16日全麻下行虹膜肿物切除术,见肿物为实性,将其完整切除。病理检查:肿物呈黑褐色,4×3×2mm大小,镜下见片状增生的胶质细胞及胶质纤维,血管丰富。病理诊断:虹膜胶质细胞瘤。出院后二周复诊,视力仍为1.5,虹膜8
Patients 9 years old male parent complained of jealous, intraocular tumor 4 days, admitted to hospital on March 12, 1990. No eye pain and traumatic history, no abnormalities in the whole body examination. Eye examination: Right eye 1.5, left 1.5. Right lower eyelid varus, eyelashes reach the corneal margin, bulbar conjunctiva mild congestion, mild corneal opacity, anterior chamber moderate depth. Iris 8 to 9 points at a 4 × 3 × 2mm size of the tumor, slightly darker than the iris, which can be seen on the blood vessels. Pupil is not round, good response to light, crystal transparency, fundus no abnormalities. Clinical diagnosis: right eye iris cyst, ectropion, corneal maculata. On March 16 under general anesthesia iris resection, see the tumor is solid, its complete resection. Pathological examination: the tumor was dark brown, 4 × 3 × 2mm size, microscopically see flaky glial cells and glial fibers, rich in blood vessels. Pathological diagnosis: iris glioblastoma. Visits two weeks after discharge, still 1.5 eyesight, iris 8