15例儿童干眼症误诊为弱视原因分析

Dry eye misdiagnosed as amblyopia in 15 children

目的 通过分析临床上将儿童干眼误诊为弱视的原因,进一步了解儿童干眼症,以避免及减少误诊.方法 回顾性病例分析.对大理州人民医院门诊诊断为弱视的4～7岁患儿15例行验光检查,验配度数处于临界,伴有部分眼表刺激症状,且弱视治疗效果不佳,进行干眼相关检查.结果 15例患儿进行干眼检查[Schirmer＇s Ⅰ试验（SIT）、泪膜破裂时间（BUT）、泪河宽度（TMH）]后确诊为干眼,经干眼药物治疗后视力恢复.结论 儿童干眼在临床上易被漏诊及误诊,应做详细的病史采集及眼部专科检查,对干眼高危儿童应行干眼检查.

Objective To analyze the cause of dry eye in children is clinically misdiagnosed as amblyopia; to gain a better understanding of dry eye in children in order to avoid and reduce the occurrence of misdiagnosis.Methods This was a retrospective cases analysis.Optometric testing was performed on 15 children who had been diagnosed as amblyopic in outpatient clinic.Children aged 4 to 7 years were included in this study.When optometric prescriptions for the treatment of amblyopia are not effective and some symptoms are present,the children then were checked for dry eye.Results After testing for dry eye,all the children were diagnosed as dry eye and recovered after medical treatment.Conclusion A diagnosis of dry eye is often overlooked in children.Systematic investigations and careful tests for dry eye should be performed on high-risk children.