干眼误诊的临床因素分析  

Analysis of clinical factors on dry eye

作　　者：李越虹[1] 韦东[1] 

机构地区：[1]中国中医科学院西苑医院眼科,北京100091

出　　处：《中国中医眼科杂志》2012年第6期442-444,共3页China Journal of Chinese Ophthalmology

摘　　要：目的分析干眼的误诊原因,探讨误诊的防范要点。方法对213例干眼患者的病史资料、干眼相关检查以及误诊原因进行回顾性分析。结果本组患者的干眼总误诊率为36.6%,误诊为其他疾病的发生率由大至小依次为慢性结膜炎、病毒性角膜炎、视疲劳、白内障术后不适、丝状角膜炎。结论干眼临床表现的多样性,自觉症状与多种眼病的重复性,是误诊的客观因素;医生询问病史欠详,缺乏对干眼的重视,或对病因的了解不够全面深入是误诊的主观因素,也是防范误诊的重要环节。OBJECTIVE To analyse the reasons of misdiagnosis with dry eye and explore how to prevent these factors.METHODS The cases of 213 patients with dry eye were reviewed.The factors including the case history,clinical examination of dry eye and causes of misdiagnosis were studied retrospectively.RESULTS The misdiagnosis rate of dry eye was 36.6%,and the kinds of eye diseases misdiagnosed as dry eye were chronic conjunctivitis;virus keratitis,asthenopia,unwell feeling after cataract surgery and filiform keratitis.CONCLUSIONS Similarities of the clinical features in symptoms and signs of dry eye to the other eye diseases were objective misdiagnosis factors.But doctor inquired about patient＇s case history with less carefulness,paid no attention to the clinic features of dry eye,lack of understanding and comprehending the causes of dry eye were subjective misdiagnosis factors.This sub jective factors are also important links to reducing misdiagnosis of dry eye.

关 键 词：干眼 误诊 因素分析 防范 

分 类 号：R777.34[医药卫生—眼科]