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我们应用含糖溶液冲洗,肝素点眼,治愈顽固性角膜溃疡1例,现介绍如下。患者女,77岁,于1984年2月6日入院。主因右眼痛、异物感、羞明流泪、视物不清,伴同侧头痛2个多月,经外院对症治疗,不见好转而入院。查体:全身无特殊。视力:右光觉。左0.2。左眼无特殊。右眼上睑有倒睫2根,沙眼Ⅱ~+,刺激症状明显、结膜混合充血。角膜中央溃疡面3×4mm,略凹陷、色灰白,荧光素染色(+)。前房积脓四分之一,随体位移动。瞳孔中度散大,光反应消失。晶体混浊。眼底不能窥入,眼压正常。诊断:右眼细菌性角膜溃疡并前房积脓。
We use sugar solution rinse, heparin eye, refractory corneal ulcer 1 case, are described below. Female patient, 77 years old, was admitted to hospital on February 6, 1984. Mainly because of right eye pain, foreign body sensation, shame, tears, blurred vision, with ipsilateral headache for more than 2 months, the symptomatic treatment by the outer hospital, no improvement and admission. Physical examination: no special body. Eyesight: the right light. Left 0.2. No special left eye. There are two trichiasis on the right eyelid, trachoma Ⅱ ~ +, obvious irritation, conjunctival hyperemia. Central corneal ulcers 3 × 4mm, slightly depressed, gray-white, fluorescein staining (+). Anterior chamber empyema quarter, with the position of displacement. Moderate pupil dilation, light reaction disappeared. Crystal opacity. Fundus can not see, normal intraocular pressure. Diagnosis: right eye bacterial corneal ulceration and anterior chamber empyema.