高度近视合并原发性开角型青光眼延误诊的临床因素分析

Clinical factor analysis on misdiagnose and not timely diagnose of high myopia with primary open-angle glaucoma

目的探讨高度近视合并开角型青光眼发生延误诊的临床因素。方法对42例81眼病因回顾性分析,包括眼压、视野、矫正视力、眼底视盘、视杯、RNFL以及就诊时最早测量眼压和视野的时间情况。结果发现从就诊到确诊的时间为2m～7y,眼压、视野以及眼底情况有其特异性。结论高度近视合并原发性开角型青光发生延误因素,包括患者、医生以及疾病本身的特异性,提醒我们对高度近视的患者就诊时要重视。

Objective To probe into the clinical factor of misdiagnosis or not timely diagnostic of high myopia with primary open-angle glaucoma. Methods The clinical data of 81 eyes in 42 cases with high myopia with primary open-angle glaucoma was retrospectively analyzed including intraocular tension, visual field, corrected visual acuity, optic disc, optic cup RNFL and the situation to measure intraocular tension and visual field. Results The time from seeking medical advice to diagnose was discovered in 2 months to 7 years and intraocular tension visual field and the situation of fundus were peculiar. Conclusion The factor of misdi- agnosis or not timely diagnosis in high myopia with primary open-angle glaucoma including patients, doctor and the paricularity of disease must be paid attention th the patients of high myopis.