易误诊的后巩膜炎1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2023.078

摘要/Abstract

摘要： 目的探讨后巩膜炎的病因、发病机制、临床表现、诊断思维、鉴别诊断、治疗方法及预后,以便对其进行早期确诊,避免误诊漏诊。方法回顾性分析1例后巩膜炎患者的临床资料,对本病例的诊疗过程及临床思维进行总结分析。结果患者治疗2周后,左眼矫正视力由0.12恢复至0.8,症状及体征消失。结论后巩膜炎临床表现多样,易误诊为泪腺炎、中心型浆液性脉络膜视网膜病变等疾病。详细的问诊及仔细的查体,有助于提高后巩膜炎早期确诊率,避免误诊误治。

关键词: 后巩膜炎, 临床表现, 鉴别诊断, 误诊

Abstract: Objective To investigate the etiology, pathogenesis, clinical manifestations, diagnostic approach, differential diagnosis, treatment, and prognosis of posterior scleritis, with a focus on early diagnosis and prevention of misdiagnosis and missed diagnosis. Methods The clinical data of a young patient with posterior scleritis were retrospectively analyzed, and the diagnosis, treatment process, and clinical reasoning of this case were summarized and analyzed. Results Following 2 weeks of treatment, the corrected visual acuity of the left eye was improved from 0.12 to 0.8, with the resolution of symptoms and signs. Conclusion Posterior scleritis presents with diverse clinical manifestations and is easily misdiagnosed as dacryoadenitis or central serous chorioretinopathy. Therefore, detailed inquiry and careful physical examination are crucial in improving the early diagnostic rate of posterior scleritis and avoiding misdiagnosis and mistreatment.

Key words: Posterior scleritis, Clinical manifestations, Differential diagnosis, Misdiagnosis

中图分类号:

R772.3+3

陈海燕,王平. 易误诊的后巩膜炎1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(4): 126-130.

CHEN Haiyan, WANG Ping. Easily misdiagnosed posterior scleritis:a case and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(4): 126-130.

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