2022年 · 第58卷第04期

Surgeon introduction Tian Bei, MD, chief physician, associate professor. Member of the Standing Committee of the Chinese Institute of Sports Rehabilitation Education of the Chinese Medical Association, Member of the Sports Medicine Branch of the Chinese Medical Association, Member of the Optometry Group of the Ophthalmologist Branch of the Chinese Medical Doctor Association, Member of the Standing Committee of the Diabetes Professional Committee of the Chinese Geriatric Health Care Association, Member of the Ophthalmology Professional Committee of the Chinese Medical Equipment Association, Member of the Diabetes Ophthalmology Group of the Diabetes Professional Committee of the Chinese Research Hospital Association, and Member of the 12th Health and Wellness Committee of the China Democratic League. Senior visiting scholar of China Study Abroad Fund (State Administration of Foreign Experts), corresponding editorial board of Chinese Journal of Ophthalmology. Honorary research fellow, Royal Eye Hospital, Murphy, UK, and a member of the Vitreoretinal Surgery Association, UK and Ireland. He has been engaged in the first-line clinical work of ophthalmology in Beijing Tongren Ophthalmology Center, Beijing Tongren Hospital affiliated to Capital Medical University for more than 20 years. He is good at vitrectomy, phacoemulsification cataract aspiration, fundus laser surgery, etc. So far, he has more than 10,000 surgical experiences.

The patient was a 41-year-old female. Because of blurred vision in his left eye for several weeks, he went to the Optometry Hospital affiliated to Wenzhou Medical University. Bronchial cystic adenoid carcinoma was diagnosed in 2015 with systemic metastatic symptoms. General physical examination: The mental state is good, the general condition is acceptable. Eye examination: visual acuity was 1.0 for the right eye and 0.1 for the left eye; IOP was 7.4 mmHg (1 mmHg =0.133 kPa) in the right eye and 6.6 mmHg in the left eye; There is no conjunctiva congestion in both eyes, the cornea is transparent, the anterior chamber is clear and deep, the pupil is round, and the lens is transparent; For fundus examination, see A in Essence Picture 1. Ocular ultrasonography showed 11.0 mm ×5.2 mm space-occupying lesions in the retina; The results of fluorescein fundus angiography are shown in B and C in Essence Picture 1. Clinical diagnosis: metastatic carcinoma of the choroid of the left eye.