CAJ | 학술논문

目的:分析角膜内皮炎的病因,探讨其临床误诊的原因及治疗要点.方法:回顾分析7例临床上被误诊的角膜内皮炎,包括发病诱因、临床表现及治疗.结果:误诊为结角膜炎2例,误诊为急性闭角型青光眼、青光眼睫状体炎综合症、白内障囊外摘除人工晶体植入术后炎症反应、盘状角膜基质炎、虹膜睫状体炎各1例.经治疗7例痊愈,其中1例复发.结论:角膜内皮炎病因尚不明确,正确掌握本病特征及鉴别诊断要点和认真详细地检查病人,可及时地做出正确诊断.临床治愈后,继续维持治疗4wk以上,可降低复发率.
목적:분석각막내피염적병인,탐토기림상오진적원인급치료요점.방법:회고분석7례림상상피오진적각막내피염,포괄발병유인、림상표현급치료.결과:오진위결각막염2례,오진위급성폐각형청광안、청광안첩상체염종합증、백내장낭외적제인공정체식입술후염증반응、반상각막기질염、홍막첩상체염각1례.경치료7례전유,기중1례복발.결론:각막내피염병인상불명학,정학장악본병특정급감별진단요점화인진상세지검사병인,가급시지주출정학진단.림상치유후,계속유지치료4wk이상,가강저복발솔.
AIM: To observe the clinical features of glaucomatocyclitic crisis and to investigate its pathogenesis, diagnosis,treatment and prognosis.METHODS: The clinical data of 15 cases (15 eyes) subjected to glaucomatocyclitic crisis were retrospectively analyzed including clinical manifestation and treatment.RESULTS: Visual field was normal in 13 eyes, and 2eyes had glaucomatous visual field defects. C/D ratio was ≤0.3 in 10 eyes and ≥0.6 in 2 eyes. Through pharmacotherapy the symptoms in 14 eyes disappeared after 2wk. One eye was diagnosed as being complicated by primary open-angle glaucoma and well treated with surgery.CONCLUSION: Glaucomatocyclitic crisis is a kind of ocular syndrome with unknown pathogenesis. It should be differentiated from primary glaucoma and uveitis clinically. Its prognosis is not absolutely benign, and the patients should be followed up regularly.