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患者沈××女性44岁一个月前右眼被黄蜂刺伤,视物模糊伴眼痛,头痛,当时未加处理,三天后失明。以后经常头痛,伴恶心、呕吐。检查:右眼无光感,混合充血,角膜水肿,中央上皮剥脱,周围新生血管长入,鼻下方5点钟处有一斜行穿孔伤迹(根据原记录示意图,大约长3.5mm),伤口已闭合,前房消失,虹膜萎缩,晶体混浊膨胀,眼压40mmHg。临床诊断:角膜穿孔伤,外伤性白内障,继发性青光眼。行右眼球摘除术。
Patients Shen × × female 44-year-old right eye was stabbed wasp, blurred vision with eye pain, headache, was not treated at the time, three days after blindness. After frequent headache, with nausea and vomiting. Check: right eye without light feeling, mixed congestion, corneal edema, central epithelial exfoliation, peripheral neovascularization, nasal 5 o’clock at a oblique perforation wound (according to the original record diagram, about 3.5mm long), the wound has been Closed, disappeared anterior chamber, iris contraction, crystal opacity expansion, intraocular pressure 40mmHg. Clinical diagnosis: corneal perforation injury, traumatic cataract, secondary glaucoma. Right eye enucleation.