Misdiagnosis of Glaucoma.doc

 PAGE \* MERGEFORMAT 11 Misdiagnosis of Glaucoma Keywords: glaucoma Blinding eye disease glaucoma is a serious one [1], but also ophthalmic emergency. The blinding rate of 8.8% [1], while the misdiagnosis and missed diagnosis is an important factor in blinding glaucoma, early diagnosis is to improve the efficacy, improve visual function key. Since glaucoma is complex and diverse, high incidence of misdiagnosis. Rudong County People’s Hospital treated from 2002 to 2007 a total of 150 cases of glaucoma patients, will now be misdiagnosed or missed the first diagnosis of 36 cases of glaucoma were 40 clinical data analysis is as follows. A clinical data 1.1 General information on this group of 36 cases, 16 males and 20 female. 28 cases of left eye, right eye in 12 cases, open-angle glaucoma in 4 cases, juvenile glaucoma in 1 case. 1.2 Clinical manifestations associated with headache, 8 cases of eye pain, nausea, vomiting in 6 cases, blurred vision in 7 cases. Eye examination, visual acuity: no light perception in 2 eyes, 21 eyes a sense of 4.0 ~ 4.6,4 ~ 0.08,13 eyes eyes ≥ 4.7. Disc C / D ≥ 0.6 in 5 eyes. Check anterior chamber angle wide-angle 2, medium wide-angle 7, narrow-angle 4. 1.3 misdiagnosis 1.3.1 misdiagnosed as acute gastroenteritis acute angle-closure glaucoma attack stage is often associated with nausea, vomiting, diarrhea or constipation, loss of appetite and other systemic symptoms are often masked eye pain, blurred vision and other eye symptoms. Many patients first diagnosed in medicine, if the physician failed to recognize glaucoma, Wenzhen not careful palpation is not comprehensive, is often misdiagnosed as gastroenteritis, this group of 7 was treated with anti-inflammatory rehydration, and other antispasmodic atropine treatment, application of atropine, anisodamine antispasmodic drugs such as aggravated pupillary block, intraocular pressure increased further, and even iris posterior synechi