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患者赵×女70岁住院号81—4778 左眼球向前外方突出二年。复视及视力减退,稍胀痛。按炎症治疗不见好转而来我院。体格检查:全身检查正常。眼部检查:视力:右眼0.7,左眼0.3。右眼外眼正常,左眼球明显向前外上方突出,眼险、泪器正常,眼球向内转动稍受限。结膜轻度水肿,角膜透明,瞳孔正常,屈光间质清晰,眼底正常。于左眼眶内侧下侧可触到一囊性肿物,高于鼻梁,质软,波动感明显,表面光滑,界
Patient Zhao × female 70-year-old hospital number 81-4778 Left eyeball forward two years. Diplopia and vision loss, a little pain. Inflammation treatment has not improved from our hospital. Physical examination: normal examination. Eye examination: visual acuity: right eye 0.7, left eye 0.3. The right eye outside the normal eye, the left eye significantly prominent outside the front, eye insurance, normal lacrimal, inward rotation of the eye slightly limited. Conjunctival mild edema, corneal transparency, normal pupil, refractive clear, fundus normal. On the underside of the left orbital can touch a cystic mass, higher than the bridge of the nose, soft, clear sense of volatility, the surface is smooth, the world