低度远视散光18例误诊原因及防范措施

低度远视散光18例误诊原因及防范措施

广东省中山市南朗人民医院  高阳

目的 探讨低度远视散光误诊的临床原因及预防措施。

方法 对2006年5月至2009年6月收治的、曾在外院误诊的18例低度远视散光患者的临床资料进行回顾性分析。

结果 8例误诊为可疑青光眼，6例误诊为神经血管紧张性头痛，误诊为美尼尔氏综合症、神经衰弱各2例。我院确诊后，经检影验光配镜治疗，效果良好。

结论 详细采集病史，全面体格检查，是提高诊断率，减少误诊的关键。

关键词 低度远视散光；误诊原因；防范措施

Causes and preventions of misdiagnosis of 18 patients with low hyperopic astigmatism

Nanlang People’s Hospital of Zhongshan  Gao Yang

Objective To discuss the misdiagnosis reasons for low hyperopic astigmatism，and measures to reduce the rate of misdiagnosis and improve the accuracy of diagnosis.

Methods Analysis the patient’s clinical material of 18 misdiagnosis cases about low hyperopic astigmatism in other hospitals from May 2006 to June 2009.

Results 8 cases misdiagnosed as suspected glaucoma, and 6 cases misdiagnosed as neurovascular headache, each 2 cases misdiagnosed as Meniere’s syndrome or neurasthenia. Our hospital after diagnosis, after  retinoscopy  optometric treatment to good effect.

Conclusion The detailed gathering of medical historys and the comprehensive medical examination is the key to enhances the diagnosis rate, to reduces misdiagnosis.

Key Words   low hyperopic astigmatism; misdiagnosis reason; Prevention