Misdiagnosis of acute glaucoma clinical analysis of 21 cases of.doc

 PAGE \* MERGEFORMAT 6 Misdiagnosis of acute glaucoma clinical analysis of 21 cases of [Keywords:] Acute glaucoma Misdiagnosis Glaucoma is one of the major blinding eye disease, clinical manifestations varied, to bring about certain difficulties in clinical diagnosis, easy to misdiagnosis and mistreatment, severe cases will result in visual function in patients with irreversible damage. This study of 21 cases of acute glaucoma misdiagnosis analysis. Report are as follows. 1 Materials and Methods 1.1 General Information Select Yongkang First People’s Hospital from January 2002 to December 2008 treated 21 patients with acute glaucoma, 11 cases were males and 10 females, aged 56 to 86 years with an average (71.31 ± 4.50) years, onset to diagnosis time of 3 ~ 21 d, an average of 13.6 d. Most patients have high blood pressure, cerebrovascular disease, coronary heart disease, diabetes, high blood lipids such as medical history, initial symptoms of headache, with varying degrees of nausea, vomiting, eye pain, blurred vision. Clinical symptoms: headache with eye pain, nausea, Ou Tuzhe 17 patients, only headache, mild eye pain, 4 cases, 4 cases associated with language barriers, physical exercise is limited in 9 cases, blood pressure was significantly elevated in 12 cases . 1.2 auxiliary examination brain CT examination: five cases associated with lacunar infarction, brain malacia in 3 cases, brain ischemic changes in 3 cases. 1.3 eye examination in this group of patients had ocular hyperemia, corneal edema, mydriasis, elevation of intraocular pressure. 18 patients with varying degrees of vision decline. 2 Results This group misdiagnosed as lacunar infarction in 5 cases, 6 cases of cerebral infarction, nervous headache in 4 cases, 4 cases of acute gastroenteritis, upper respiratory tract infection in 2 cases. Patients diagnosed by the ophthalmologist after, giving the standard treatment, including 14 cases of glaucoma surgery, 7 patients with drug-conservative