干眼症误诊的临床分析

目的:分析临床上干眼症的误诊原因,探讨防止干眼症误诊的措施。方法:对146例临床干眼症患者进行回顾性临床分析,以干眼症最简单可行的3项检查结果,①SchirmerI试验≤5mm,②BUT≤10s,③角膜荧光素染色阳性,并结合患者临床症状为诊断标准。结果:误诊为慢性结膜炎58例,病毒性角膜炎16例,泪囊炎1例,眼部术后患者11例,其它眼疾病者15例,另38例为在我院首诊确诊为干眼症的患者,只有7例是经上级医院确诊的干眼症患者。结论:临床干眼症误诊率高达69.2%,我们应该正确对待干眼症,不要滥用抗生素。

Clinical analysis of erroneous diagnosis of dry eye syndrome

AIM:To analyze the causes for an erroneous diagnosis of the clinical dry eye syndrome and explore the measures to prevent it.· METHODS:One hundred and forty-six cases of dry eye syndrome were analyzed retrospectively.There were three items of examination results which may be regarded as diagnosis criteria:Schirmer I test≤5mm;BUT≤10 seconds;cornea fluroescein sodium dye is positive.The clinical symptoms of the patients were also observed.· RESULTS:Fifty-eight cases were misdiagnosed as chronic conjunctivitis,16 cases as viral keratitis,1 case as dacryocystitis,11 cases as eye diseases resulting from eye operation and 15 cases as other eye diseases.Among the rest 38 cases which were diagnosed as dry eye syndrome in our hospital for the first time,only 7 of them were once diagnosed to have this disease by higher-level hospitals.· CONCLUSION:The rate of misdiagnosis of dry eye syndrome comes up to 69.2%,so the dry eye syndrome should be treated correctly and the antibiotic eyedrops should not be used indiscriminately.