| 晶状体脱位继发急性闭角型青光眼误诊分析 |
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| 引用本文： | 罗莉霞,刘杏,程冰,李媚,钟毅敏.晶状体脱位继发急性闭角型青光眼误诊分析[J].中国误诊学杂志,2010,10(1):4-6. |
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| 作者姓名： | 罗莉霞 刘杏 程冰 李媚 钟毅敏 |
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| 作者单位： | 中山大学中山眼科中心,中山大学眼科学国家重点实验室,广东,广州,510060 |
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| 摘 要： | 目的:分析晶状体脱位继发急性闭角型青光眼的临床特点及误诊原因。方法:对晶状体脱位继发急性闭角型青光眼患者36例(41只眼),采用房角镜和(或)超声生物显微镜(UBM)检查,根据其临床特点,选择适当的手术治疗。结果:41只眼中31只眼(75.61%)误诊为原发性急性闭角型青光眼。单眼晶状体脱位继发急性闭角型青光眼的前房深度较对侧眼明显变浅,差异有统计学意义(P<0.05)。术后1个月,患者视力不同程度提高;眼压正常。结论:晶状体脱位继发急性闭角型青光眼容易误诊为原发性急性闭角型青光眼,误诊原因主要为病史询问不清、眼部检查不仔细。治疗晶状体脱位继发急性闭角型青光眼,需要解除晶状体因素,才能提高手术成功率。
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| 关 键 词： | 晶体半脱位/并发症 青光眼 闭角型/并发症 急性病 误诊 |
Analysis of Secondary Acute Angle Closure Glaucoma Due to Subluxated Lens Misdiagnosed as Primary Acute Angle Closure Glaucoma |
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| LUO Li-xia,LIU Xing,CHENG Bing,et al..Analysis of Secondary Acute Angle Closure Glaucoma Due to Subluxated Lens Misdiagnosed as Primary Acute Angle Closure Glaucoma[J].Chinese Journal of Misdiagnostics,2010,10(1):4-6. |
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| Authors: | LUO Li-xia LIU Xing CHENG Bing |
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| Affiliation: | LUO Li-xia,LIU Xing,CHENG Bing,et al.(State key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510060,China) |
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| Abstract: | Objective:To analyze the clinical characteristics and the causes of misdiagnosis in patients with acute angle closure glaucoma secondary to subluxated lens.Methods:Forty-one eyes of 36 patients with acute angleclosure glaucoma secondary to lens subluxation were examined by gonioscopy and/or ultrasound biomicroscopy(UBM).Surgical therapy was performed according to the degree of zonular dialysis and angle closure.Results:Thirty-one eyes out of 41 eyes (75.61%) with acute angle-closure glaucoma secondary to le... |
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| Keywords: | Lens Subluxation/complications Glaucoma Angle-Closure/complications Acute Disease Diagnostic Errors |
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