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目的:研究分析高度近视患者并原发性开角型青光眼的早期诊断及误诊因素,为临床治疗提供指导。方法:选取我院在2014年1月至2016年1月间收治的20例高度近视合并原发性开角型青光眼患者为研究对象,分析其早期诊断准确率及误诊因素。结果:本组患者确诊为高度近视合并原发性开角型青光眼患者11例,误诊为白内障1例、视疲劳2例、慢性结膜炎3例、高度近视屈光度进展3例,误诊率45%。结论:对于临床检查眼压处于正常范围的高度近视患者,也要注意眼光眼的检查,早期重视诊断高度近视合并原发性开角型青光眼利于早期诊断,降低视功能损伤。
Objective: To study the early diagnosis and misdiagnosis factors of patients with high myopia and primary open-angle glaucoma, and provide guidance for clinical treatment. Methods: Twenty high myopia patients with primary open-angle glaucoma admitted in our hospital from January 2014 to January 2016 were selected as the research object, and their diagnostic accuracy and misdiagnosis factors were analyzed. Results: Eleven patients with high myopia and primary open-angle glaucoma were diagnosed. One patient was misdiagnosed as cataract, two patients were visual fatigue, three patients had chronic conjunctivitis, and three patients had high myopia refraction. The misdiagnosis rate was 45%. Conclusion: For patients with high myopia who have intraocular pressure in the normal range, we should also pay attention to the examination of oculomotor eye. Early diagnosis of high myopia combined with primary open angle glaucoma is helpful for early diagnosis and impairment of visual function.