中华胸心血管外科杂志
2025年 · 第61卷第07期
中华胸心血管外科杂志
This issue focuses on the research progress of strabismus and pediatric ophthalmology diagnosis and treatment. The responsible editorial committee responsible for the planning, composition and review of this issue is Professor Liu Hu.
The patient was a female, 45 years old. He went to Hebei Eye Hospital 20 months after silicone oil filling in his left eye. Tremor in both eyes and low vision since childhood. Eye examination: the naked visual acuity of the right eye was 0.02, and the corrected visual acuity was not improved, and the naked visual acuity of the left eye was 0.06, and the corrected visual acuity was 0.09; IOP in both eyes normal; There is no obvious conjunctiva congestion in the right eye, the cornea is transparent, the pupil is round, the direct and indirect response to light is slow, and the lens is white and turbid; Only the optic disc structure is blurred in the right fundus. Ocular B-ultrasound examination: opacity of the vitreous body of the right eye, abnormal echo in the bulb, and abnormal morphology of the bulb wall (choroidal defect) (Quintessential Picture 1). Color Doppler ultrasound examination of the eye: the ciliary body of the right eye detected a round shape without echo, and no obvious blood flow signal was detected by blood flow imaging (Quintessential Picture 2). Ultrasound biomicroscopy: the ciliary body flat in the upper temporal part of the right eye was rounded and anechoic (Quintessence Picture 3). Clinical diagnosis of right eye: cyst of ciliary body flat; Cataracts; Vitreous opacity; Choroidal defects.
The patient was a 51-year-old female. Because the tumor in his right eye gradually increased and his visual acuity decreased, he went to the Department of Ophthalmology, Jianyang Hospital of Traditional Chinese Medicine, Sichuan Province. Mass in the right eye since childhood, untreated. Deny the history of other eye diseases and systemic diseases, surgery, trauma, familial genetic diseases and infectious diseases. Eye examination: visual acuity was 0.05 for the right eye (uncorrectable) and 1.0 for the left eye; IOP was 15 mmHg (1 mmHg =0.133 kPa) in the right eye and 14 mmHg in the left eye; A huge corneoscleral mass about 1/4 quadrant below the temporal cornea of the right eye, with a diameter of about 8 mm. The border is tightly adhered to the cornea and sclera, soft in texture, and hair attachment can be seen in the center of the surface (Quintessential Picture 1). Ocular A-ultrasound examination: the axial length of the right eye was 29.55 mm. Clinical diagnosis of right eye: corneal dermoid tumor; High myopia.
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