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张××女62岁住院号5910 1983年12月24日入院。半年前,右眼视物不清,鼻侧视野缺损。某医院诊为右眼视网膜脱离,因未找到裂孔未行手术。药物治疗无效。来院就诊前两天,右眼突然疼痛和剧烈头痛,呕吐十余次。右眼视力光感,眼压75.11mmHg。诊断:右眼急性充血性青光眼。用各种降眼压药物治疗,眼压仍在59.10mmHg~75.11mmHg,视力光感消失。十几年前患肠套叠,手术治愈。慢性咳嗽一年余,诊断为支气管炎。以往无眼疾史。眼部检查:右眼光感消失,左眼0.3。右眼睑稍红肿,混合性充血,角膜水肿,前房浅,虹膜萎缩,瞳孔约6mm,对光反应迟纯,晶状体皮质混浊,玻璃体及眼底无法
Zhang × × female 62-year-old hospital number 5910 December 24, 1983 admission. Six months ago, the right eye blurred vision, nasal visual field defect. A hospital diagnosed retinal detachment of the right eye, because no holes were not found surgery. Invalid drug treatment. Two days before coming to hospital, his right eye had sudden pain and severe headache, vomiting more than ten times. Right eye light perception, intraocular pressure 75.11mmHg. Diagnosis: Right eye acute congestive glaucoma. With a variety of intraocular pressure medication, intraocular pressure is still 59.10mmHg ~ 75.11mmHg, visual acuity disappeared. Ten years ago suffering from intussusception, surgical cure. Chronic cough more than a year, diagnosed as bronchitis. No history of eye disease in the past. Eye examination: right eye light perception disappeared, the left eye 0.3. The right eyelid is slightly inflamed, mixed congestion, corneal edema, shallow anterior chamber, iris atrophy, pupil about 6mm, the photoreaction of pure, cortical opacity, vitreous and fundus can not