临床误诊误治2018，Vol.31Issue(5)：42-45,4.DOI:10.3969/j.issn.1002-3429.2018.05.012
原发性开角型青光眼合并高度近视误诊六例分析
Analysis of Six Cases of Primary Open-Angle Glaucoma Complicated with High Myopia ZHANG Jian-feng,ZHANG Heng,WANG Li-xiao
摘要
Abstract
Objective To summarize the clinical features of primary open-angle glaucoma complicated with high myopia and to analyze the causes of misdiagnosis and treatment of this disease. Methods From June 2015 to Feb-ruary 2016,21 patients with high myopia complicated with primary open-angle glaucoma treated in Baoji People's Hos-pital were selected as the subjects of the study. Of them,6 patients were misdiagnosed,the clinical data of whom were analyzed retrospectively. Results The misdiagnosis rate was 28.57%. Of 6 patients,2 presented with orbital pain and blurred vision at 5 and 10 days after treatment respectively;2 presented with immediate shadow,foreign-body sensa-tion,and visual fatigue at 10 and 15 days after treatment;2 patients with blurred vision,dizziness,nausea and amauro-sis at 3 days after treatment. For them,high myopia with primary open-angle glaucoma was misdiagnosed as asthenopia in 2 cases,chronic conjunctivitis in 2 cases and migraine in 2 cases. The duration of misdiagnosis was 3-10 d. All the patients were treated accordingly but had no improvement. Continuous measurement of intraocular pressure, chamber angle,fundus and visual field confirmed high myopia with primary open-angle glaucoma. Subsequently,simple trabe-culectomy and composite trabeculectomy were performed in 5 and 1 patients respectively. After 6-15 d treatment as de-scribed above,all the patients were discharged home after the condition was significantly improved. They were followed up for periods ranging from 3 months to 1 year,and the prognosis was favorable. Conclusion Given aspecific and sub-tle clinical manifestations,high myopia with primary open-angle glaucoma is likely to be misdiagnosed. Therefore,cli-nicians should enhance the understanding of this disease,to reduce or avoid the misdiagnosis.关键词
青光眼；开角型/近视/误诊/视疲劳/结膜炎/偏头痛Key words
Glaucoma,open angle/Myopia/Misdiagnosis/Asthenopia/Conjunctivitis/Migraine disorders分类
医药卫生引用本文复制引用
张建峰,张恒,王立肖..原发性开角型青光眼合并高度近视误诊六例分析[J].临床误诊误治,2018,31(5):42-45,4.基金项目
陕西省科技攻关项目(2012K18-12) （2012K18-12）
