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虹膜角膜内皮综合征临床上较少见,简称ICE,由于虹膜显著改变,眼压升高形成单侧青光眼,病人前来就诊而被发现,我院曾遇一例,特报告如下: 病例报告患者刘伟,男性,39岁,工人,因右眼视力逐渐下降11个月来就诊,检查,视力,右0.1左1.5,右眼角膜中央部轻度混浊,角膜后色素性KP(+),周边前房深度1/2CK,前房(-),11—12点处虹膜萎缩,瞳孔呈卵圆形,约7mm大,瞳孔色素缘外翻,对光反射消失,晶体前囊下轻度混浊。眼底:视乳头杯状凹陷,横径C/D=0.8垂直径C/D0.9,血管推向鼻侧,动脉静脉比例1:3,黄斑区中心窝反光消失,眼压右10/5.5=34.40mmug左5.5/5=17.30mmug,前房角
Iris corneal endothelial syndrome is clinically rare, referred to as ICE, due to significant changes in iris, intraocular pressure to form unilateral glaucoma, the patient came to the clinic and was found in our hospital had a case, the special report is as follows: Case Report Patients Liu Wei, male, 39 years old, workers, due to a gradual decline in visual acuity 11 months to see the doctor, visual acuity, right 0.1 left 1.5, right corneal central Ministry of mild turbidity, post corneal KP (+), Depth of room 1 / 2CK, anterior chamber (-), 11-12 points iris atrophy, the pupil was oval, about 7mm large, pupil pigment rim valgus, the light reflection disappeared, the lens before the cyst slightly cloudy. Fundus: optic disc cup-shaped depression, diameter C / D = 0.8 vertical diameter C / D0.9, blood vessels to the nasal side, the ratio of arterial veins 1: 3, macular central reflex disappeared, intraocular pressure right 10 / 5.5 = 34.40mmug left 5.5 / 5 = 17.30mmug, anterior chamber angle