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杨×绍男45岁贵州毕节人。于1983年5月来诊。主诉半年前收割玉米时,黑色毛虫碰触左眼,当时眼刺痛、怕光、流泪,视物不清。两周后,某医院诊断为“左眼角膜毛虫伤”,取出毛虫刺8根。术后仍有眼红,眼痛,点用“可的松眼水”和口服“强的松”片,症状缓解,停药后症状加重,常反复,视力日趋下降。眼部检查:视力右1.2左0.6。左眼轻度混合性充血,上方角膜透明,中央及下方有点片状局限性混浊(系取异物后之斑翳)7点近瞳孔区角膜及5点近周边角膜深层有棕色毛刺4根,部分入前房,毛刺周围有灰白色浸润。角膜后有粗大灰白色沉着物,房水闪辉阳性。近瞳孔缘虹膜上有4根毛刺,早灰白色半透明结节状。4点处虹膜后粘连,其边缘有一褐色粗大毛刺斜行刺入晶状前皮质,该处晶体局限性混浊。眼底未见明显异常改变。眼压指测正常。
Yang × Shao 45-year-old male Bijie Guizhou. In May 1983 to the clinic. When complaining about maize harvesting six months ago, the black caterpillar touched the left eye. At that time, the eye was stinging, fear of light, tears, and blurred vision. Two weeks later, a hospital diagnosed as “left eye corneal caterpillar injury”, remove the caterpillar puncture 8. After surgery there are red eyes, eye pain, point with “cortisone eye water” and oral “prednisone” tablets, symptoms, symptoms after stopping withdrawal, often repeated, vision decreased. Eye examination: visual acuity 1.2 left 0.6. The left eye mild mixed congestion, the top of the cornea transparent, central and below a little flaky focal opacity (Department of foreign body cantharidin) 7:00 near pupil cornea and 5 points near the cornea deep brown burr 4, part Into the anterior chamber, burr around the gray infiltration. After corneal coarse gray deposits, aqueous shine positive. Near the pupil edge of the iris has 4 burr, early gray translucent nodular. 4:00 Department after the iris adhesions, the edge of a thick brown burr oblique piercing the crystalline anterior cortex, where the local crystal turbidity. Fundus showed no significant abnormal changes. Intraocular pressure to measure normal.