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患者,男,52岁,职业石匠.5年前石块溅伤左眼,致角膜穿通伤,外伤性白内障,在外院做过白内障手术.当时外院怀疑有球内异物,反复进行X线摄片和B超检查,均未发现.2个月前,劳动中不慎被石块击至后头部,因外力较大,当即扑俯在地,前额撞击地上,当晚发现左眼出现一白色斑块,无明显刺激症状.在当地卫生院治疗不见好转,于1992年3月10日来本院就诊入院.眼部检查:视力右1.0,左数指20cm.左眼无充血,鼻侧角膜有一纵行灰白色条形斑翳,外下方前房内有一约2×5mm石块异物,裂隙灯下清晰可见.房水Tyndall(+),虹膜纹理尚清,瞳孔呈垂立椭圆形,晶体缺如,瞳孔区可见玻璃体飘浮.眼底检查见玻璃体轻度浑浊,未见大块机化物,视网膜无异常,黄斑中心反光(-),眼压
Patient, male, 52 years old, professional masons. 5 years ago, the left eye splash caused by stones, corneal penetrating injury, traumatic cataract, cataract surgery in the outer court. At that time suspected foreign ball foreign body, repeated X-ray And B-ultrasound, were not found .2 months ago, labor accidentally hit by the stones after the head, due to large external force, immediately flutter in the ground, his forehead hit the ground, the night was found in the left eye with a white spot Block, no significant irritation in the treatment of local hospitals did not improve, in March 10, 1992 to our hospital for admission .Ophthalmoscopy: visual acuity 1.0, left number refers to 20cm. Left eye without congestion, there is a nasal cornea Longitudinal white striped cantharidin, outside the outer chamber below a 2 × 5mm stone foreign body, the slit lamp can be seen clearly. Aqueous Tyndall (+), the iris texture is still clear, the pupil was vertical elliptical, lack of crystal , The pupil area visible vitreous body floating fundus examination showed mild vitreous opacity, no big machine, no abnormal retina, macular center reflex (-), intraocular pressure