干眼症的临床分析

Clinical analysis of ophthalmoxerosis

目的:探讨干眼症的临床发病原因和误诊原因。方法:93例患者根据主诉及病史进行了眼科相关检查:角膜荧光染色,泪膜破裂试验,SchirmerⅠ试验。部分患者结合病史选择有关实验室检查,明确了诊断并进行了合理有效的治疗。结果:本组中干眼症的主要原因为长期使用滴眼液(27%)和长期使用电脑(23%)。误诊率高达80%,主要误诊为慢性结膜炎(53%),病毒性角膜炎(20%)和流行性角结膜炎(7%)。结论:干眼症是眼科常见病与多发病,但容易被忽视和误诊,详细询问病史和合理的检查对明确诊断和选择有效的治疗方法有着重要意义。

AIM： To investigate the causes of happening and misdiagnosis of dry eye. METHODS： Ninety-three cases, according to their complaints and history, received routine ophthalmologic examination , the fluorescent stain test,tear break-up time （BUT） and Schirmer I tear test. Some cases received laboratorial examination. The adequate treatments were performed after clear diagnosis. RESULTS： In this study, the misdiagnosis rate for dry eye was 80%. Most of the dry eye were misdiagnosed as chronic conjunctivitis （ 53%）, viral keratitis （ 20% ） and epidemic keratoconjunctivitis（7%）. The major causes for dry eye were abusing eye-drops and ana-computer working. CONCLUSION： Dry eye is a common and frequentlyoccurring disease, but it can be easily overlooked and misdiagnosed. Understanding detailed history and the basic pathologies and differential diagnosis of dry eye disease seems to be essential to diagnose and differentiate dry eye from other disorders and to initiate adequate management.