2023年 · 第59卷第04期

The patient was a 53-year-old male. He went to the Department of Ophthalmology of the Second Hospital of Hebei Medical University because of the dark shadow in front of his right eye fluttering for 1 month and visual acuity decreasing with visual object occlusion for 20 days. Eye examination: visual acuity was 0.15 for the right eye and 1.0 for the left eye; No obvious abnormalities were observed in the anterior segment of both eyes; Retinal detachment can be seen above the right fundus, and 2 horseshoe-shaped hiatus can be seen above the detached retina (Quintessential Picture 1). Clinical diagnosis: Rhegmatogenous retinal detachment in the right eye.

The patient was a 28-year-old male. He went to Jinan Mingshui Eye Hospital because of repeated redness of his left eye and tearing for 1 year. Eye examination: visual acuity was 1.2 in the right eye and 1.0 in the left eye; IOP was 15 mmHg (1 mmHg =0.133 kPa) in the right eye and 18 mmHg in the left eye; A granuloma was seen in the conjunctiva of the upper eyelid of the left eye, and an insect-like foreign body was seen in the central area of the granuloma, with white substances attached around the foreign body, surface telangiectasia, conjunctiva hyperemia, corneal epithelial defects, and no obvious abnormalities were found in other ocular structures (Quintessential Picture 1). Clinical diagnosis: conjunctival granuloma of upper eyelid of left eye; Insect foreign body in the conjunctiva of the upper eyelid of the left eye.

The patient was a 24-year-old female. Because of grinding pain in both eyes and blurred vision for 5 days, he went to Hebei Eye Hospital. He had been myopic in both eyes for 12 years and wore contact lenses intermittently. Eye examination: visual acuity was 0.12 for the right eye and 0.1 for the left eye; IOP was 15.0 mmHg (1 mmHg =0.133 kPa) in the right eye and 14.0 mmHg in the left eye; The conjunctiva of the right eye was mixed congested, with an inverted triangular epithelial defect of about 2 mm ×3 mm in the central cornea, mild edema of the corneal epithelium in other parts, vague intraepithelial microvesicle-like changes, and no edema of the corneal stroma; The conjunctiva of the left eye is mildly congested, the corneal epithelium is rough, and a large number of microvesicle-like changes with basically the same shape and size can be seen in the corneal epithelium in the central area, with a range of about 6 mm ×7 mm. The corneal fluorescein staining is positive, the corneal epithelium in other parts is smooth, and there is no edema in the corneal stroma (Essence Picture 1); The anterior chamber of both eyes was moderately deep, the aqueous humor was clear, the pupil was round, about 3 mm in diameter, and the response to light was normal. Clinical diagnosis: binocular Meesmann corneal dystrophy.