2022年 · 第58卷第09期

The patient was a 29-year-old female. He complained of foreign body sensation in his right eye for half a year and went to Beijing Tongren Eye Center, Beijing Tongren Hospital affiliated to Capital Medical University. Ocular examination: binocular visual acuity was 0.8, intraocular pressure was 14 mmHg (1 mmHg =0.133 kPa) in the right eye and 16 mmHg in the left eye; The eyelashes of the lower eyelids of both eyes grew upside down, touching the cornea, and there was a blood vesicle below the nose of the cornea of the right eye, in which the plane of bloody fluid was visible (Quintessence Picture 1In a). Coherence light tomography of the anterior segment of the eye revealed that blood vesicles were located under the corneal epithelium (B in Quintessential Picture 1). Clinical diagnosis: right eye corneal vesicles; Trichiasis of the lower eyelids of both eyes. Blood blisters were punctured with a 1 ml syringe needle under topical anesthesia with iprocaine hydrochloride, bloody fluid spilled, local anti-inflammatory and anti-infective therapy was given, and the cornea healed well.

The patient was a 60-year-old male. Because of blurred vision in his left eye for 1 year, he went to the Department of Ophthalmology, Affiliated Hospital of Jining Medical College. No previous systemic diseases such as diabetes and hypertension. Eye examination: visual acuity was 0.8 for the right eye and 0.25 for the left eye; IOP was 15 mmHg (1 mmHg =0.133 kPa) in the right eye and 13 mmHg in the left eye; There is no conjunctiva congestion and edema in both eyes, the cornea is transparent, the anterior chamber depth is normal, the pupil diameter is about 2.5 mm, and it is sensitive to light. The lens of the right eye is mildly opaque, and the posterior subcapsular cortex of the left eye is several flaky opaque with branches of varying sizes, like corals (Quintessential Picture 1); Fundus examination showed no abnormalities. Clinical diagnosis: Age-related cataract (posterior subcapsular type) in the left eye.