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患者,女,35岁,主因右眼视物模糊4个月于1980年12月20日就诊。检查:全身一般情况未见异常。眼部检查:视力:右眼0.6,戴-1.00球=1.2;左眼1.2。双外眼未见异常。双眼小瞳孔眼底检查:右眼屈光间质清,视乳头几乎被一黑色肿物所占,位于下4/5,不正圆,隆起约4D,其顶部较其余部更隆起些,棕黑色,其余部则多少呈灰黑色。黄斑及周边部正常。肿瘤附近无色素颗粒。双眼眼压无异常。视野:右眼白色视标3/330mm,周边视野无异常;中心视野白色视标3/1000mm,生理盲点向上扩大1/3。右眼底荧光素血管造影,肿物显示遮挡荧光,余无异常。诊断为:右眼视乳头黑色素细胞瘤,屈光不正。10年后随访:视力:右0.3,戴-
The patient, female, 35 years old, was mainly obscured by right eye vision for 4 months and was treated on December 20, 1980. Check: the general situation of the body without exception. Eye examination: visual acuity: right eye 0.6, wearing -1.00 ball = 1.2; left eye 1.2. Double outer eye no abnormalities. Binocular pupil fundus examination: Right eye refraction interstitial clear, the optic nerve is almost occupied by a black tumor, located in the next 4/5, not round, uplift about 4D, the top more bulging than the rest, brown black, The rest is somewhat grayish black. Macular and peripheral normal. No pigment particles near the tumor. No abnormalities in intraocular pressure. Vision: right eye white visual target 3 / 330mm, no abnormal peripheral vision; center vision white visual target 3 / 1000mm, physical blind up 1/3. Right fundus fluorescein angiography, the tumor showed blocking fluorescence, I no exception. Diagnosis: Right eye papilloma, refractive error. Follow-up after 10 years: Eyesight: Right 0.3, Wear -