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目的:探讨翼状胬肉切除术后易发生干眼病的发病机理,避免误诊为病毒性角膜炎。方法:对26例(38只眼)患者的临床资料进行分析。结果:26例(38只眼)患者均为胬肉切除术后发生干眼病而被误诊为病毒性角膜炎,经停用抗病毒治疗,按干眼病治疗获得痊愈。结论:临床医生要充分掌握干眼病的发病机理及与病毒性角膜炎的鉴别诊断,避免误诊延缓治疗。
Objective: To investigate the pathogenesis of dry eye after pterygium resection and to avoid misdiagnosis of viral keratitis. Methods: Clinical data of 26 patients (38 eyes) were analyzed. Results: Twenty-six patients (38 eyes) were diagnosed as dry keratopathy after pterygium excision and were misdiagnosed as viral keratitis. After stopping the antiviral treatment, they were cured according to the dry eye treatment. Conclusion: Clinicians should fully grasp the pathogenesis of dry eye disease and differential diagnosis with viral keratitis, to avoid misdiagnosis of delayed treatment.