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患者,女,50岁。1989年2月发现左眼球突出,逐渐加重,近1个月左眼看不见。1991年4月16日以左眼眶内肿瘤收住院。右眼未见异常,视力1.0,左眼黑蒙。左眼球向正前方突出,突出度为14.09824.0mm眼球向上、下、外活动受限。角膜混浊,前房正常,瞳孔散大,左眼视乳头呈苍白色,眼底血管均匀变细。CT扫描报告左眼眶内有一肿物阴影。初步诊断为左眼眶内视神经肿瘤。 1991年4月29日在全麻下行左眼眶内肿瘤摘除术。开睑后沿角巩膜缘环形剪开球结膜,分离并剪断直肌,斜肌。使眼球脱臼。用尖刀刺破球壁5mm,挤出眼内容,用血管钳夹住眼球,用小手指及钝头剪刀分离球后肿瘤至眶尖部。于视神经孔部剪断视神径及肿瘤蒂,完整摘除肿瘤及眼球。肿瘤约3.5cm×
Patient, female, 50 years old. In February 1989 found that the left eyeball prominent, gradually increased, the left eye can not see nearly 1 month. April 16, 1991 to the left orbital tumor in the hospital. No abnormalities in the right eye, visual acuity 1.0, dark eyes. Left eye prominent in front of the positive degree of 14.09824.0mm eye up, down, outside the activity is limited. Corneal opacity, normal anterior chamber, mydriasis, left eye papilla is pale, fundus thinning. CT scan reports a tumor shadow in the left orbital. Initial diagnosis of left orbital optic nerve tumors. April 29, 1991 underwent left orbital tumor resection under general anesthesia. After the open eyelid scleral rim ring cut the bulb conjunctiva, separation and cutting the rectus abdominis, oblique muscle. Dislocate the eyeball. Use a sharp knife to pierce the wall of the ball 5mm, squeeze out the contents of the eye, clamp the eye with a vascular forceps, with a small finger and blunt scissors to separate the ball from the ball to the orbital apex. Cut the optic nerve and tumor pedicle in the optic nerve hole, completely remove the tumor and eyeball. Tumor is about 3.5cm ×