误诊为中心性浆液性脉络膜视网膜病变的原因分析  

Reason analysis of misdiagnoses to central serious choroidoretinopathy

作　　者：纪惠谦[1] 刘吉民[1] 梁敏[1] 李玲丽[1] 张霆[2] 

机构地区：[1]青岛市第八人民医院眼科中心,266100 [2]青岛市立医院眼科

出　　处：《临床眼科杂志》2007年第4期314-315,共2页Journal of Clinical Ophthalmology

摘　　要：目的分析孔源性视网膜脱离、原田病误诊为中心性浆液性脉络膜视网膜病变(CSC)的原因。方法2001年1月～2006年10月所遇19例(19只眼)误诊为中心性浆液性脉络膜视网膜病变患者。孔源性视网膜脱离误诊为CSC15例,误诊时间2～40d。原田病误诊CSC4例,患者均为女性,误诊时间分别为1～5d。4例患者均为双眼视力突然下降,伴有头痛。结果15例孔源性视网膜脱离患者明确诊断后,均行视网膜复位术。现随访3个月～5年,视网膜在位;4例原田病患者,给予大剂量糖皮质激素治疗,视力提高,为0.3～0.8。结论CSC、孔源性视网膜脱离、原田病临床上各有其特有的典型体征,导致孔源性视网膜脱离、原田病误诊的主要原因为眼底病知识掌握不全面、忽略散瞳眼底检查。Objective Analysis the reason that rhegmatogenous retinal detachment（RRD） and harada disease misgiagnosed central serious choroidoretinopathy（ CSC ）. Methods 19 cases were misdiagnosed CSC from 2001.1 ～ 2006. 10. 15 cases were RRD, 4 cases were Harada disease and all of them were female,and had the signs of vision acuity decreased suddenly and headache. Results 15 cases of RRD were treated with retinal reattachment ,follow up for 3 months to 5 years, retine is attachment. The vision acuity of 4 cases of Harada disease raised obviously after treated with plenty of glucocorticoid , and the vision acuity were 0.3 ～ 0.8. Conclusion CSC , RRD and Harada disease have their own characteristic typical signs, the main reason of misdiagnosis was unilateral of fundus disease knowledge, and ignored the examination of fundus with mydriasis.

关 键 词：原田病 孔源性视网膜脱离 中心性浆液性脉络膜视网膜病变 误诊 

分 类 号：R770.4[医药卫生—眼科]