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目的:分析因色素膜炎的大量渗出导致角膜重度混浊后被误诊为角膜炎的原因。方法:回顾分析我科所接诊11例病例被误诊的原因及在给予糖皮质激素等积极治疗后的效果。结果:11例病例经治疗后症状很快解除,角膜恢复透明,眼压恢复正常。结论:当色素膜炎出现大量渗出时,可致角膜水肿、继发性青光眼等而导致角膜重度混浊,不做仔细的裂隙灯检查可导致误诊。
OBJECTIVE: To analyze the reason for the misdiagnosis of keratitis after severe corneal opacity due to the exudation of pigment meningitis. Methods: Retrospective analysis of 11 cases of misdiagnosed cases in our department and the results of positive treatment such as glucocorticoid treatment. Results: After treatment, the symptoms of 11 cases were quickly relieved, the cornea recovered and the intraocular pressure returned to normal. CONCLUSION: Corneal edema, secondary glaucoma, etc. can cause severe corneal opacity when there is a large exudation of uveitis, and careful examination of the slit lamp may result in misdiagnosis.