CAJ | 학술논문

目的通过分析临床上将儿童干眼误诊为弱视的原因,进一步了解儿童干眼症,以避免及减少误诊.方法回顾性病例分析.对大理州人民医院门诊诊断为弱视的4～7岁患儿15例行验光检查,验配度数处于临界,伴有部分眼表刺激症状,且弱视治疗效果不佳,进行干眼相关检查.结果 15例患儿进行干眼检查[Schirmer's Ⅰ试验(SIT)、泪膜破裂时间(BUT)、泪河宽度(TMH)]后确诊为干眼,经干眼药物治疗后视力恢复.结论儿童干眼在临床上易被漏诊及误诊,应做详细的病史采集及眼部专科检查,对干眼高危儿童应行干眼检查.
목적 통과분석림상상장인동간안오진위약시적원인,진일보료해인동간안증,이피면급감소오진.방법 회고성병례분석.대대리주인민의원문진진단위약시적4～7세환인15례행험광검사,험배도수처우림계,반유부분안표자격증상,차약시치료효과불가,진행간안상관검사.결과 15례환인진행간안검사[Schirmer's Ⅰ시험(SIT)、루막파렬시간(BUT)、루하관도(TMH)]후학진위간안,경간안약물치료후시력회복.결론 인동간안재림상상역피루진급오진,응주상세적병사채집급안부전과검사,대간안고위인동응행간안검사.
Objective To analyze the cause of dry eye in children is clinically misdiagnosed as amblyopia; to gain a better understanding of dry eye in children in order to avoid and reduce the occurrence of misdiagnosis.Methods This was a retrospective cases analysis.Optometric testing was performed on 15 children who had been diagnosed as amblyopic in outpatient clinic.Children aged 4 to 7 years were included in this study.When optometric prescriptions for the treatment of amblyopia are not effective and some symptoms are present,the children then were checked for dry eye.Results After testing for dry eye,all the children were diagnosed as dry eye and recovered after medical treatment.Conclusion A diagnosis of dry eye is often overlooked in children.Systematic investigations and careful tests for dry eye should be performed on high-risk children.