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视网膜脱离是常见的视网膜疾病,通过检眼镜检查其诊断并不困难。但周边部视网膜脱离引起的黄斑部放射状皱折水肿时易误诊为黄斑炎症,漏孔或变性,而怡误治疗。此类教训临床屡见不鲜。著者近来遇到4例经过误诊的病例,报告如下,以引起注意。例1 宋××男34岁门诊病志号23042病史:左眼一个月以前视物发黄、变形,视力下降。当时到某医院就诊,其检查所见为视力0.2,黄斑部呈条纹状水肿。诊断为左眼中心性视网膜炎用药治疗无好转来我门诊治疗。检查所见:左视力0.1,眼前部未见异常。散瞳检查眼底:视盘及血管未见异常改变,黄斑与视盘之间视网膜呈横形条纹状肿胀,后极部视网膜呈
Retinal detachment is a common retinal disease that is not difficult to diagnose through ophthalmoscopy. However, peripheral retinal detachment caused by macular radial crease edema easily misdiagnosed as macular inflammation, leakage or degeneration, and Yi miscellaneous treatment. Such lessons are not uncommon in clinical practice. The author recently encountered 4 cases of misdiagnosed cases, the report is as follows to attract attention. Example 1 Song × × male 34-year-old outpatient service code 23042 history: the left eye a month ago, the visual yellow, deformation, decreased vision. At that time to a hospital for treatment, the examination showed visual acuity 0.2, macular stripe edema. Diagnosis of left-sided central retinitis drug treatment did not improve to my outpatient treatment. Check see: left visual acuity 0.1, no abnormality in front of the eye. Mydriasis check fundus: no abnormal changes in the optic disc and blood vessels, macular and optic disc between the transverse stripe-like swelling of the posterior pole retina was