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患者,男,22岁。右眼原发性视网膜脱离失明10年,眼球发白,胀感2个月入院。体检无明显异常。化验血胆固醇4.21mmol/L,甘油三酯2.24 mmol/L,β-脂蛋白515mg/L,血糖5.03mmol/L,血、尿常规未见异常。眼部检查:视力:右无光感,左0.3~10.00 DS=0.4.眼压:右2.74kPa,左0.95kPa。右眼球结膜混合性充血(+),角膜上皮呈不规则片状粗糙改变,前房中、下方充满白色闪光结晶物,后部看不清。左眼前节无明显异常,眼底呈高度近视改变。诊断:右眼
Patient, male, 22 years old. Right eye primary retinal detachment blindness 10 years, pale eyes, swelling 2 months admitted to hospital. No obvious physical examination. Laboratory blood cholesterol 4.21mmol / L, triglyceride 2.24mmol / L, β-lipoprotein 515mg / L, blood sugar 5.03mmol / L, blood, urine no abnormalities. Eye examination: visual acuity: right no light perception, left 0.3 ~ 10.00 DS = 0.4. IOP: right 2.74kPa, left 0.95kPa. Right eye conjunctival hyperemia (+), corneal epithelium was irregular flaky rough change, the anterior chamber, the bottom is full of white flash crystals, the rear can not see clearly. No obvious abnormality in the left anterior segment, fundus showed a high degree of myopia changes. Diagnosis: right eye