目的:观察青光眼睫状体炎综合征早期临床特点,以期帮助诊断。方法:选取我院2004-06/2011-02,最终能诊断Posner-Schlossman综合征且能观察到完整早期临床资料的患者31例31眼,观察患者发病24h内和随后连续2d的视力、眼球充血、角膜水肿、角膜后沉着物(KP)、前房Dyndall现象、瞳孔光反射、眼压等。记录患者的症状和当天的诊断情况。结果:即使最终31例患者都能诊断为青光眼睫状体炎综合征,但在发病24h内就诊时仅15例(48%)能诊断,随后连续2d能诊断的依次为23例(74%),29例(93%)。结论:KP型和高眼压型早期诊断较为困难。眼胀和KP是其重要的症状和体征。

AIM:To observe the clinic characters of early stage of the Posner-Schlossman syndrome to aid the diagnosis.METHODS:Select 31 patients 31 eyes from 2004-06 to 2011-02 with Posner-Schlossman syndrome whose signs and symptoms can be observed in early stage in our hospital.Having got records within the first 24 hours and succedent two days,which include vision,hyperemia of the eyeball,corneal edema,keratic precipitates(KP),Dyndall’s sign,pupillary light reflex,intraocular pressure.Main symptoms and diagnosis of the day were recorded as well.RESULTS:Although all 31 patients could be diagnosed as Posne-Schlossman syndrome eventually,in the first 24 hours only 15 patients’(48%)diagnosis were Posner-Schlossman syndrome,in the succedent two days 23(74%) and 29 patients’(93%) diagnosis were Posner-Schlossman syndrome in sequence.CONCLUSION:Posner-Schlossman syndrome can be divided into three types clinically:typical Posner-Schlossman syndrome,KP type and high-intraocular-pressure type.The last two types are more difficult to diagnose in early stage.KP and distending feeling of the eyeball are important signs and symptoms.

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