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目的:分析角膜内皮炎的病因,探讨其临床误诊的原因及治疗要点。方法:回顾分析7例临床上被误诊的角膜内皮炎,包括发病诱因、临床表现及治疗。结果:误诊为结角膜炎2例,误诊为急性闭角型青光眼、青光眼睫状体炎综合症、白内障囊外摘除人工晶体植入术后炎症反应、盘状角膜基质炎、虹膜睫状体炎各1例。经治疗7例痊愈,其中1例复发。结论:角膜内皮炎病因尚不明确,正确掌握本病特征及鉴别诊断要点和认真详细地检查病人,可及时地做出正确诊断。临床治愈后,继续维持治疗4wk以上,可降低复发率。
Objective: To analyze the etiology of corneal endodermatitis and to explore its causes and treatment points of misdiagnosis. Methods: A retrospective analysis of 7 cases of clinically misdiagnosed corneal endothelitis, including the incidence of incentives, clinical manifestations and treatment. Results: 2 cases were misdiagnosed as keratoconjunctivitis, misdiagnosed as acute angle-closure glaucoma, glaucomatocystitis syndrome, inflammatory reaction after extracapsular cataract extraction and intraocular lens implantation, discoid corneal inflammation, iridocyclitis One case each. After treatment, 7 cases were cured, of which 1 case relapsed. Conclusion: The etiology of corneal endodermatitis is not yet clear. To correctly diagnose the features of the disease and identify the main points of the disease and to examine the patient carefully and in detail can make a correct diagnosis in time. Clinical cure, continue to maintain the treatment 4wk above, can reduce the recurrence rate.