高度近视合并视锥细胞营养不良的临床诊断

Clinical diagnosis of high myopia with cone dystrophy

高度近视合并视锥细胞营养不良在临床上比较少见。由于两种疾病均有一定遗传倾向,疾病发展到一定程度时临床检查及临床症状有一定相似性,常合并发生,一种疾病的诊断易被另一种诊断所混淆或掩盖,尤其在遇到高度近视患者出现相关检查异常时,要仔细甄别是其本身视功能异常,还是合并视锥细胞营养不良的诊断。另外,在疾病的发展中可能会相互促进而加重疾病的症状,容易造成漏诊或误诊,从而延误正确治疗。因此正确、全面、及时做出诊断是临床的难点。

High myopia associated with cone dystrophy is relatively rare in clinical practice. Because the two diseases have a certain genetic predisposition, with the disease developed, clinical examination and clinical symptoms have some similarities, one disease diagnosis is easily confused or masked by the other diagnosis, especially in the face of patients with high myopia associated abnormalities, we should carefully screen abnormal visual function of its own or combined cone dystrophy diagnosis.In addition, the development of the disease may mutually reinforce, aggravate the symptoms of each other, which is likely to cause mission or misdiagnosis, or delay the proper treatment. Therefore, it is clinically difficult to correct and comprehensively and timely diagnosis.