Duty Life
Daily life
A case of orbital tumor with very interesting clinical manifestations
Feb 25th
A case of orbital tumor with very interesting clinical manifestations
A middle aged woman came to me with the orbit CT image of her, and presented with the little pain at the lower rim of the left orbit. She complained that she felt ocular pain when she bent down to tie the shoelace and slept on the left side. The extra ocular and intra ocular had no signs of abnormalities except a little pain by pressing at the lower rim of the orbit.
I read the image report, and find a tumor in the orbit. See the image:
It is best probable that More >
Patients: Why I feel different brightness in my both eyes?
Feb 23rd
A middle aged man came to me and said:’Doctor, I cannot see clearly?’. I glanced at his visual acuity record: both eyes were 1.0. In order to exclude whether his feeling was true or false,
I asked him: ‘Do you feel different in your eyes or one eye is darker than another?’.
The patient answered:’Yes, sir, I feel a little darker than before ‘.
I checked the fundus of his eyes. The macular fovea reflex cannot be observed. So I told him to take a ZEISS OCT exam to confirm what the macular disease was.
The pictorial documents are: You could see serous detachment between More >
Macular retinoschisis caused by high myopia in a woman
Feb 20th
Yesterday a high myope came to me. She had come for a visit 1 months ago and other doctor prescribed spectacles of -17D to her. So I asked why she came again. She answered: ‘I can’t see clearly’. Reliablely, her visial acuity was both 0.08. I thought her low vision due to amblyopia. But I could not jump a conclusion arbitrarily. I told her to stare at Amsler grid with her eye alternately covered to see if the grid transformed. She said both of her eyes were seeing transformed grid. I don’t want to dilate the pupils because it was More >
A parturient in preeclampsia-eclampsia
Feb 18th
This afternoon, I met a female patient in preeclampsia-eclampsia. She had a baby of 31weeks +3 days. I checked the patient, found that both of her eyes were serous detachment of the retina and conjunctiva edema. The right eye was upper detachment, the left eye was lower detachment. No obvious hemorrhages, retinal infarcts(cotton-wool spots) and choroidalinfarcts (Elschnig’s spots) were seen. I told her husband to sent her immediately to obstetrical department for pregnancy termination. If not, she or her baby might be dead.
This patient recalled me another parturient in preeclampsia-eclampsia months ago. I suggested the doctor in obstetrical department to More >