摘要
目的 :分析干眼症的误诊原因 ,探讨防止误诊的措施。方法 :对 178例干眼症误诊进行回顾性临床分析 ,以干眼症的三项检查结果 (泪液分泌试验、泪膜破裂时间、角膜荧光素染色 )为诊断标准。结果 :误诊疾病包括流行性角结膜炎、病毒性角膜炎、点状角膜炎、慢性结膜炎 ;误诊时间 1个月～ 3年 8个月 ;误诊原因为忽视干眼症的临床特点和对其病情缺乏全面系统分析。结论 :症状是干眼症诊断的重要依据 。
Objective:To analyse the reasons of some eye diseases misdiagnosed as dry eye,and find out how to prevent these errors.Method:178 patients with different kinds of eye disease misdiagnosed as dry eye were studied retrospectively for the errors.The standards of correct diagnosis depended on the results of 3 kinds of clinical examination of dry eye(Schirmer test,tear film break up time and fluorescein staining of cornea).Results:The eye diseases that were misdiagnosed as dry eye included epidemic keratoconjunctivitis(77 cases),virus keratitis(49 cases),punctate keratitis(32 cases) and chronic conjunctivitis(20 cases).The misdiagnostic period varied from 1 month to 3 and 8/12 years.The reasons of misdiagnosis were:1)pay no attention to the clinical features of dry eye,and 2) lack of understanding and systemic analyses to the whole conditions.Conclusion:Symptoms and signs are main and important evidences in the diagnosis of dry eye,and the examination with traditional diagnostic tests may make a correct diagnosis of dry eye.
出处
《眼科》
CAS
2001年第5期296-298,共3页
Ophthalmology in China
关键词
干眼症
诊断
误诊
病因
dry eye/diagnosis
misdiagnosis
