儿童睑缘炎相关角结膜病变临床特点及误诊分析  

Analysis of clinical characteristics and misdiagnosis of pediatric blepharokeratoconjunctivitis

作　　者：廖妙云[1] 张玉明[1] 吴春航 

机构地区：[1]广西桂林医学院附属医院眼科,541001 [2]桂林市第五人民医院七星分院

出　　处：《中国斜视与小儿眼科杂志》2017年第4期14-16,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的分析儿童睑缘炎相关角结膜病变的误诊原因,提高对该病的认识。方法回顾性分析2例误诊的中、重度BKC患儿临床诊疗资料。结果 2例病例其中1例误诊为病毒性角膜炎,另1例误诊为春季卡他性结膜炎。2例均经过详细检查可见睑缘炎表现,并经过相关睑缘炎治疗后明显好转。确诊为BKC。结论儿童BKC有较高的发病率,通过详细的裂隙灯显微镜观察睑缘的病变可以提高诊断率,早期治疗可以减少角膜严重损害及视力损失。Objective To enhance the understanding of pediatric blepharokeratoconjunctivitis through analyzing the cause of misdiagnosis of it. Methods 2 misdiagnosis cases of pediatric blepharokeractoconjunctivitis were analyzed retrospectively. Results One case was misdiagnosis as viral keratitis, the other was misdiagnosis as vernal keractoconjunctivitis. Two cases had signs of blepharitis, and were diagnosed as BKC. The treatment were effective. Conclusions The pediatric BKC has a high incidence. Careful examination of eyelids margin will increase the diagnostic rate and early treatment can avoid severe lesion of vision.

关 键 词：儿童 睑缘炎 相关角结膜病变 诊断 

分 类 号：R777[医药卫生—眼科]