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患者男性,54岁,汉族。因双眼内眦部有肿物3年于1990年7月1日第一次入院。检查:一般情况好,视力右0.4,左0.2,右睑裂变形增大,右眼内眦部见一3mm×5mm不规则形状的红色包块与上睑缘及角巩缘粘连。左睑裂变小,上、下睑板增厚,变硬。内眦部见一粉红色三角形赘生物侵及角膜缘内3mm。双角膜光滑、透明,前房正常。虹膜纹理清,瞳孔圆,对光敏感,晶体轻度混浊,眼底正常。入院后分别在局麻下行双眼内眦部及左眼上、下穹窿部肿物切除,术中见双眼内眦部及左眼上、下穹窿部球结膜下有大量灰白色干酷样物质,切除后送病理检查。病理诊断为淀粉样变性。3年后患者又因双
Male patient, 54 years old, Han nationality. Due to the Department of Internal Medicine Department of the tumor 3 years in July 1, 1990 the first admission. Check: the general situation is good, visual acuity of 0.4, left 0.2, right palpebral fissure increased, see a 3mm × 5mm irregular shape of the red mass in the right eye Department of internal friction and the upper limbus and angle margin adhesions. Left fissure small, upper and lower tarsal thickening, hardened. See a pink triangle within the Ministry of neoplasm Invasion and corneal margin 3mm. Double corneal smooth, transparent, anterior chamber normal. Iris texture clear, pupil circle, sensitive to light, crystal mild opacity, fundus normal. After admission, respectively, under local anesthesia in the Department of intraocular and bilateral left and right upper and lower fornical resection, intraoperative and bilateral see the Ministry of the left eye, the lower fornix bulbs under the bulbar conjunctiva there are a lot of gray-like material, resection Evacuation pathological examination. Pathological diagnosis of amyloidosis. 3 years after the patient due to double