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蔡××男22岁主诉:双眼视物不清5年余。检查:右视力0.3—4.0D 1.5,左视力0.3—4.0D 1.5。近视力均为1.5。双结膜充血,血管模糊,乳头肥大,滤泡形成,以上睑内外眦部明显,占其面积约1/3,球结膜轻度充血。双眼视神经乳头边缘清晰,颞侧弧形斑,黄斑中心窝反光点存在,视网膜正常。诊断:①双眼屈光不正。②双眼沙Ⅰ_+。治疗:配镜矫正屈光不正。用利福平跟水点眼,第1次点眼后无明显不适,约5小时后第2次点眼,3、4分钟出现睁眼困难,疼痛,流泪。双眼睑中度水肿,眼睑痉
Cai XX male 22-year-old chief complaint: eyes blurred more than 5 years. Check: right visual acuity 0.3-4.0D 1.5, left visual acuity 0.3-4.0D 1.5. Near vision is 1.5. Double conjunctival hyperemia, vasoconstriction, papilla hypertrophy, follicular formation, the Ministry of the upper and lower eyelid significantly, accounting for an area of about 1/3, conjunctival mild hyperemia. Binocular optic nipple edge of the clear, temporal curved plaque, macular foveal reflex points exist, the retina is normal. Diagnosis: ① eyes refractive errors. ② binocular sand Ⅰ_ +. Treatment: glasses correction refractive error. Rifampicin with water spots, no obvious discomfort after the first point of the eye, about 5 hours after the second eye, 3,4 minutes, eyes open difficulties, pain, tears. Eyelid moderate edema, blepharospasm