J4 ›› 2011, Vol. 10 ›› Issue (6): 59-60.

• 临床医学 • 上一篇    下一篇

翼状胬肉切除术后干眼病误诊为病毒性角膜炎临床分析

目的:探讨翼状胬肉切除术后易发生干眼病的发病机理,避免误诊为病毒性角膜炎。方法:对26例(38只眼)患者的临
床资料进行分析。结果:26例(38只眼)患者均为胬肉切除术后发生干眼病而被误诊为病毒性角膜炎,经停用抗病毒治疗,按干眼病治疗获得痊愈。结论:临床医生要充分掌握干眼病的发病机理及与病毒性角膜炎的鉴别诊断,避免误诊延缇治疗。   

  1. 大理学院云南省红会教学医院,昆明 650021
  • 收稿日期:2011-03-11 修回日期:2011-03-23 出版日期:2011-06-01 发布日期:2011-06-01
  • 作者简介:张虹,副主任医师,主要从事眼科研究.

Clinical Analysis of the Dry Eye after Pterygium Excision Misdiagnosed as Viral Keratitis

Objective:To investigate the dry eye prone pathogenesis after pterygium excision and the avoidance of misdiagnosis as viral kerati!is.Methods:The clinical data of 38 eyes from 26 patients were analyzed.Results:All cases were conducted the pterygium excision and were postoperative dry eye misdiagnosed as viral keratitis.After discontinuation of antiviral therapy,all eases were cured through the treatment of dry eye.Conclusion:Clinicians should fully grasp the pathogenesis of dry eye and the diferential diagnosis of dry eye from viral keratitis in order to avoid misdiagnosis and delayed treatment.   

  1. Yunnan Provincial Red Cross Teaching Hospital of Dali University,Kunming 650021,China
  • Received:2011-03-11 Revised:2011-03-23 Online:2011-06-01 Published:2011-06-01

摘要:

目的:探讨翼状胬肉切除术后易发生干眼病的发病机理,避免误诊为病毒性角膜炎。方法:对26例(38只眼)患者的临
床资料进行分析。结果:26例(38只眼)患者均为胬肉切除术后发生干眼病而被误诊为病毒性角膜炎,经停用抗病毒治疗,按干眼病治疗获得痊愈。结论:临床医生要充分掌握干眼病的发病机理及与病毒性角膜炎的鉴别诊断,避免误诊延缇治疗。

关键词: 翼状胬肉, 手术, 干眼病, 病毒性角膜炎

Abstract:

Objective:To investigate the dry eye prone pathogenesis after pterygium excision and the avoidance of misdiagnosis as viral kerati!is.Methods:The clinical data of 38 eyes from 26 patients were analyzed.Results:All cases were conducted the pterygium excision and were postoperative dry eye misdiagnosed as viral keratitis.After discontinuation of antiviral therapy,all eases were cured through the treatment of dry eye.Conclusion:Clinicians should fully grasp the pathogenesis of dry eye and the diferential diagnosis of dry eye from viral keratitis in order to avoid misdiagnosis and delayed treatment.

Key words: pterygium, surgery, dry eye, virus keratiti

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