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患者,男,6岁,住院号915084.于1991年11月8日入院.入院前1个月,被自家养的啄木鸟,啄伤右眼后,视力下降,以致完全看不清.入院时检查:右眼视力:数指/30cm,红绿色觉正常,光投射好,指测眼压正常.左眼视力1.5.右眼结膜不充血9,点角膜缘内1mm可见一白色2×2mm白斑(考虑角膜穿孔伤口已闭合),色素性KP(+),前房水清,无渗出,虹膜纹理清,瞳孔圆3mm,直、间接光反射存在,晶体乳白色浑浊,后部组织看不清.左眼正常.考虑:角膜穿孔伤(伤口闭合),外伤性白内
Patient, male, 6 years old, hospital number 915084. Admitted to hospital on November 8, 1991. One month prior to admission, his own woodpecker pecked right eye, the eyesight decreased, so completely clear. : Right eye vision: the number refers to / 30cm, red and green feel normal, good light projection, refers to the measured intraocular pressure normal left eye vision 1.5 right conjunctiva non-congestion 9, 1mm point within the corneal limbus can be seen a white 2 × 2mm white spot Consider the corneal perforation wound has been closed), pigmented KP (+), anterior chamber water clear, no exudation, clear iris texture, pupil circle 3mm, straight, indirect light reflection exists, crystal milky white turbidity, posterior tissue can not see clearly. Left eye is normal. Consider: corneal perforation injury (wound closure), traumatic white