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马××男 9岁 1992年4月14日入院,主诉:左眼渐失明2月余。入院前在当地医院曾按虹睫炎并发白内障治疗,无效。查体:右视力1.5,左为0,右眼未见异常。左眼无充血,瞳孔缘色素外翻,虹膜上可见大量新生血管及多发,散在的萎缩病灶,虹膜完全后粘连。瞳孔大,形状不规则,对光反射消失。晶体完全混浊,眼底窥不清。测眼压右5.5/5=2.31kpa,左5.5/0=5.52kpa。B-超检查球内可探及16×17mm 大小增强光团,内部回声不均匀,间有低回声区,边界清,形态不规则,与球后壁相连,并突入玻璃体腔内。眼部 A 超在角膜3.6.9.12,点及中心均可探及玻璃体腔内实质性回声。于4.20在局麻下行前房穿刺术抽房水同时抽血做 LDH 含量测定,结果前者比后者高约17倍.达3760μ/L,高度怀疑视网膜母
Male × × male 9 years old admitted to hospital on April 14, 1992, complained: left eye gradually lost more than 2 months. Prior to admission at the local hospital had acne ciliaris cataract treatment, invalid. Physical examination: right visual acuity 1.5, left to 0, no abnormalities in the right eye. No congestion of the left eye, pupil margin pigment valgus, a large number of iris visible on the new blood vessels and multiple, scattered atrophy lesions, iris completely after adhesion. Pupil large, irregular shape, the light reflection disappears. Crystal completely cloudy, peep eyes unclear. Measured intraocular pressure right 5.5 / 5 = 2.31kpa, left 5.5 / 0 = 5.52kpa. B-ultrasound examination of the ball can detect and 16 × 17mm size enhanced light group, the internal echo uneven, between the hypoechoic area, clear boundary, irregular shape, connected with the posterior wall of the ball, and into the vitreous cavity. A corneal eye in the cornea 3.6.9.12, point and the center can be explored and the vitreous cavity within the substantial echo. 4.20 under local anesthesia in the anterior chamber puncture pumping blood pumping at the same time doing LDH determination, the results of the former than the latter about 17 times higher, reaching 3760μ / L, highly suspected retinal mother