国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2006年
2期
295-297
,共3页
角膜内皮炎%误诊%鉴别诊断%治疗
角膜內皮炎%誤診%鑒彆診斷%治療
각막내피염%오진%감별진단%치료
corneal endotheliitis%misdiagnosis%differential diagnosis%treatment
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.
目的:分析角膜內皮炎的病因,探討其臨床誤診的原因及治療要點.方法:迴顧分析7例臨床上被誤診的角膜內皮炎,包括髮病誘因、臨床錶現及治療.結果:誤診為結角膜炎2例,誤診為急性閉角型青光眼、青光眼睫狀體炎綜閤癥、白內障囊外摘除人工晶體植入術後炎癥反應、盤狀角膜基質炎、虹膜睫狀體炎各1例.經治療7例痊愈,其中1例複髮.結論:角膜內皮炎病因尚不明確,正確掌握本病特徵及鑒彆診斷要點和認真詳細地檢查病人,可及時地做齣正確診斷.臨床治愈後,繼續維持治療4wk以上,可降低複髮率.
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 analyze the pathogeny of corneal endotheliitis and to investigate the causes of its misdiagnosis and the key to treatment.endotheliitis presented with predisposing factors, clinical manifestations and treatment were analyzed retrospectively.junctiviis, and the other 7 were misdiagnosed as acute close-angle glaucoma, glaucomatocyclitic crisis, inflammatory reaction after cataract extracapsular extraction and IOL implantation, disciform stromal keratitis and iridocyclitis, respectively. All the 7 cases were cured through treatment, and recurrence appeared in 1 case.unclear yet. Properly grasping its features and key points for differential diagnosis and seriously and detailed examining patients will benefit to timely diagnosis. After clinical treatment, maintaining treatment for more than 4wk will lower the recurrence of corneal endotheliitis.
