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病历翻译—眼科

发布者:鑫达医学翻译 发布时间:2013-05-31 8:50:52 阅读:

原文:
双眼视物有所清晰,无特殊不适,全身一般情况可。心肺听诊未见异常。专科检查:孔镜联合一2.75D矫正视力右眼0.3 ,左眼0.8, 眼压: 有眼10 mmHg,左眼13mmHg, 双眼结膜无充血;角膜上皮透明,KP右眼(+-)、左眼(-), 房闪(-),前房中深,右眼瞳孔药物性散大,瞳孔区虹膜不规则后粘连,左眼瞳孔药物性散大约6mm;右眼晶体轻度混浊,左眼晶状体前囊表面可见2处色素颗粒。散瞳后见双眼玻璃体混浊,右眼明显。眼底后极部网膜水肿减轻,视盘边清、色正,C/D约0.3, 黄斑中反消失:右眼周边仍可见隆起网膜。

译文:
Satisfactory visual acuity was obtained. Corrected vision was 0.3 for right eye and 0.8 for left eye. No special discomfort was reported. The health condition was satisfactory. No abnormality was noted in the heart and lung by auscultation. Intraocular pressure was 10 mmHg for right eye and 13 mmHg for left eye. No hyperemia was observed in the conjunctiva of both eyes. The corneal epithelium was transparent. Keratic precipitate of the right eye (+ -), left eye (-), chamber flare (-)..The depth of the anterior chamber was moderate. The mydriasis of right eye was resulted from the drug. Irregular opisthosynechia was observed in the iris of the pupil area. The mydriasis of left eye was about 6mm. The lens of right eye was mildly turbid. Two pigment granules were observed on the surface of anterior lens capsule of left eye. Vitreous opacities of oculus uterque were observed after mydriasis, especially the right eye. The hydrops of retina was alleviative at the posterior pole of fundus oculi. The verge of the optic disc was clear, and the color was normal. The C/D was about 0.3. The moderate glisten of the macula lutea disappeared. The elevated retina was still presented in the right eye.


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