目的:探讨急性闭角型青光眼误诊的经过与结果。方法:回顾性分析15例被误诊的急性闭角型青光眼诊断和治疗的临床资料。结果:其中3例自行用药治疗导致误诊;12例首诊内科导致误诊。误诊为结膜炎2例,胃肠疾病6例,心脑血管病7例。14例手术治疗,1例保守治疗。视力>0.3者5例,0.1～0.3者3例,<0.1者7例,其中<0.05者5例。结论:患者的认识错误,是其延误诊治的主观原因,内科医师应加强对青光眼基本知识的学习,以避免误诊。

AIM:To discuss the misdiagnosis course and outcome of acute angle-closure glaucoma. METHODS:Clinical data in diagnosis and treatment of 15 cases of misdiagnosed acute angle-closure glaucoma were to retrospectively analyzed. RESULTS:Totally 3 cases of misdiagnosis were because of self-medication treatment;12 cases of the first medical consultation are leaded to misdiagnosis.2 cases were misdiagnosed as conjunctivitis,6 cases as gastrointestinal diseases,cardiovascular and cerebrovascular disease in 7 cases.Surgical treatments were in 14 cases and conservative treatment in one case.Visual acuity of more than 0.3 were in 5 cases,0.1-0.3 in 3 patients,less than 0.05 in 5 cases and less than 0.1 in 7 cases. CONCLUSION:Patients’s understanding error is their subjective reason of delay in diagnosis and treatment, and physicians should enhance the learning of basic knowledge of glaucoma in order to avoid misdiagnosis.

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