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吕×女 47岁右眼视物变形,视力减退两周。检查:全身无异常改变。左眼视力1.0前眼部及眼底均正常。右眼视力0.1,外眼正常。眼底:视乳头及血管正常,黄斑部水肿,可见散在黄白色渗出,反射轮扩大,中心凹反射消失,Amsler氏方格视野检查有阳性暗点及线条变形。诊断:右眼中心性视网膜炎,口服强的松、维生素A、B、C,球后注射强的松龙,1个月后,视力0.7,眼底病灶明显吸收。在一次球后注射强的松龙0.5m,约4分钟,患者感受视物模糊,光视症,怀疑球后出血,继续用棉垫压迫眼球,10分钟后,患者自诉右眼失明,立即检查视力为0。眼底可见视乳头境界清楚,色泽正常,视网膜睫状动脉呈白线状,视
Lu × female 47-year-old right eye visual deformation, visual acuity two weeks. Check: no abnormal changes in the body. Left eye vision 1.0 before the eye and fundus are normal. Right eye 0.1, outside the eye normal. Fundus: the optic nerve and normal blood vessels, macular edema, visible scattered in yellow and white exudation, the enlarged reflector, foveal reflex disappeared, Amsler square check the positive dark spots and line deformation. Diagnosis: Right eye central retinitis, oral prednisone, vitamin A, B, C, injection of prednisolone ball, 1 month later, visual acuity 0.7, fundus lesions were significantly absorbed. After a ball injection of prednisolone 0.5m, about 4 minutes, the patient felt blurred vision, light vision, suspected bleeding after the ball, continue to use ophthalmic oppression of the eyeball, 10 minutes later, the patient complained of right eye blindness, immediately check Vision is 0. The ocular fundus visible clear state, normal color, retinal ciliary artery white line, depending on