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患者,男,19岁,于1991—11—30以多发性硬化症住我院神经科,眼科检查;视力:右眼前10 cm手动;左眼等朦,双眼睑裂等大,双上睑运动功能轻度受限,双眼球呈外斜10°,上、下、内各方位运动障碍,外展功能正常;双眼瞳孔等大约7mm,直接光反射消失,晶状体,玻璃体未见异常。双眼底:视乳头境界清,色调淡,生理凹陷消失,网膜动静脉比例正常,黄斑中心光反射(+),Hertel眼球突出计测量:双眼球突出度均为12mm,眶距101mm:Schitz眼压计测量:双眼压均Tn。双眼视野不能检测。诊断;双眼球后视神经炎,双眼第Ⅲ颅神经麻痹.治疗:全身给予抗生素、激素、血管扩张剂、大量维生素及ATP等药
Patients, male, 19 years old, with multiple sclerosis living in our hospital neurology, ophthalmology; visual acuity: 10 cm before the right eye manually; left eye and other dim, double eyelid rupture and other large, double upper lid movement The function is mildly limited, the eyes were inclined 10 ° outside, up and down, the various aspects of dyskinesia, abduction function is normal; eyes pupil about 7mm, direct light reflection disappeared, the lens, vitreous no abnormalities. Eyes: the state of clear nipple, pale hue, disappearance of physiological depression, retinal arteriovenous normal, macular central reflex (+), Hertel exophthalmos measurement: Both eyes are 12mm protrusion, orbital 101mm: Schitz Gauge measurement: Binocular pressure average Tn. Binocular vision can not be detected. Diagnosis, binocular retrobulopathic neuritis, cranial nerve paralysis of both eyes. Treatment: systemic antibiotics, hormones, vasodilators, a large number of vitamins and ATP and other drugs