2026年 · 第62卷第08期

The patient was a 73-year-old female. Because of itching in both eyes for 1 month, he went to the Department of Ophthalmology, the First Hospital of Jilin University. Past physical fitness. Eye examination: Several needle-like reddish-brown adults crawled slowly at the eyelashes of both eyelids, with yellow scab shells and a large number of white suspected egg attachments at the roots of the eyelashes; The conjunctiva of both eyes was mildly congested, the cornea was transparent, the fluorescein was scattered in dots, and other ocular examinations were roughly normal.

The patient was a 50-year-old male. He went to the Eye Hospital affiliated to Shandong First Medical University because of red left eye and visual acuity decrease for 7 days. The patient had poor visual acuity in the left eye since childhood. The whole body examination showed no obvious abnormalities. Eye examination: Left eye visual acuity was light sensing (uncorrectable), red-green light color vision (-), intraocular pressure was 56 mmHg (1 mmHg =0.133 kPa), mixed conjunctiva hyperemia, corneal fog edema, disappearance of anterior chamber, iris atrophy, unclear texture, dilated pupil, about 8 mm in diameter, response to light (-), extreme advancement and expansion of the lens, incomplete dislocation, brown-black grade V nucleus, invisible fundus (essence picture 1); The axial length was 23.43 mm for the right eye and 27.35 mm for the left eye. Panoramic coherence light tomography examination: the left eye lens is extremely expanded, the central anterior chamber disappears, and the angle of the chamber is closed (Quintessential Picture 2). In vivo confocal microscopy: corneal endothelial cell count was approximately 960/mm²。 Clinical diagnosis: left eye incomplete lens dislocation, complicated cataract, secondary glaucoma; High myopia in the left eye.