CAJ | 학술논문

目的分析以视力下降为首发症状就诊眼科的垂体腺瘤患者被误诊的临床特点.方法对视力下降而用其他眼科疾病不能充分解释者行眼底检查、视野检查、头颅CT及MRI检查.结果有36例患者被发现垂体腺瘤,其中有12例曾被误诊为球后视神经炎,8例误诊为缺血性视神经病变,6例被误诊为白内障,5例被误诊为原发性视神经萎缩,3例被误诊为开角型青光眼,2例误诊为屈光不正.结论对临床不明原因的视力下降患者,应常规行眼底、视野及头颅CT或MRI检查,以排除垂体腺瘤等颅内疾病.
목적 분석이시력하강위수발증상취진안과적수체선류환자피오진적림상특점.방법 대시력하강이용기타안과질병불능충분해석자행안저검사、시야검사、두로CT급MRI검사.결과 유36례환자피발현수체선류,기중유12례증피오진위구후시신경염,8례오진위결혈성시신경병변,6례피오진위백내장,5례피오진위원발성시신경위축,3례피오진위개각형청광안,2례오진위굴광불정.결론 대림상불명원인적시력하강환자,응상규행안저、시야급두로CT혹MRI검사,이배제수체선류등로내질병.
Objective To analyze the clinical characteristics of pituitary adenomas patients who were mis-diagnosed when they were visited in ophthalmic department with eyesight decline as the first symptom of treat-ment. Methods To do eyeground examination, eyeshot inspection, intracranial CT and MRI on patients with eyesight decline not fully explained by other eye diseases. Results 36 patients with pituitary adenomas were found,12 cases of which had been misdiagnosed as retrobulbar optic neuritis,8 cases ischemic optic neuropa-thy ,6 cases cataract, 5 cases primary optic atrophy, 3 cases open -angle glaucoma, and 2 cases ametropia.Conclusion Eyeground examination, eyeshot inspection,intracranial CT and MRI should be usually done on patients with eyesight decline caused by unknown clinical reason, in order to exclude intracranial disease as pi-tuitary adenoma.