摘要
目的 探讨后巩膜炎的病因、发病机制、临床表现、诊断思维、鉴别诊断、治疗方法及预后,以便对其进行早期确诊,避免误诊漏诊.方法 回顾性分析1 例后巩膜炎患者的临床资料,对本病例的诊疗过程及临床思维进行总结分析.结果 患者治疗 2 周后,左眼矫正视力由 0.12 恢复至 0.8,症状及体征消失.结论 后巩膜炎临床表现多样,易误诊为泪腺炎、中心型浆液性脉络膜视网膜病变等疾病.详细的问诊及仔细的查体,有助于提高后巩膜炎早期确诊率,避免误诊误治.
Abstract
Objective To investigate the etiology,pathogenesis,clinical manifestations,diagnostic approach,differential diagno-sis,treatment,and prognosis of posterior scleritis,with a focus on early diagnosis and prevention of misdiagnosis and missed diag-nosis.Methods The clinical data of a young patient with posterior scleritis were retrospectively analyzed,and the diagnosis,treat-ment process,and clinical reasoning of this case were summarized and analyzed.Results Following 2 weeks of treatment,the cor-rected visual acuity of the left eye was improved from 0.12 to 0.8,with the resolution of symptoms and signs.Conclusion Posteri-or scleritis presents with diverse clinical manifestations and is easily misdiagnosed as dacryoadenitis or central serous chorioretinopa-thy.Therefore,detailed inquiry and careful physical examination are crucial in improving the early diagnostic rate of posterior sclerit-is and avoiding misdiagnosis and mistreatment.
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