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铁锈症是眼内异物未及时发现及处理所致的严重并发症之一。因铁锈症较少见,其临床特征一般基层医师未必充分认识,分析误诊、漏诊的原因,可从中吸取教训,提高诊疗水平。现将我院3例误诊、漏诊为其它眼疾的眼球铁锈症予以报道,并复习有关文献,加以讨论。临床资料例1 女64岁左眼视物逐渐模糊2年,半月来左侧眼痛,头痛伴恶心、呕吐数次。某医院检查诊断左眼晶体溶解性青光眼,建议手术治疗,于1995年3月4日转本院住院。检查:视力右眼1.0,左眼光感(-),右眼晶体透明,左眼球结膜混合性充血,角膜雾状混浊,角膜后大量棕黄色KP,前房深,虹膜色棕黄,呈广泛性萎缩伴部分后粘连,虹膜下方表面有少量灰白色片状沉着物,瞳孔约4mm,光反应消失,晶体呈黄褐色不均混浊,核下沉,眼压:右眼2.73kPa,左眼7.88kPa,X线摄片:异物定位,位于球壁。入院诊断:左眼球内异
Rust disease is one of the serious complications caused by the non-immediate detection and treatment of intraocular foreign bodies. Due to the rare rust disease, the clinical features of the general grass-roots physicians may not be fully aware of the reasons for misdiagnosis, missed diagnosis, learn from which to improve the level of diagnosis and treatment. Now my hospital 3 cases of misdiagnosis, misdiagnosis of eye diseases other eye rust rust to be reported, and review the literature to be discussed. Clinical data example 1 female 64-year-old left eye visual blurred gradually for 2 years, half a month left eye pain, headache with nausea, vomiting several times. A hospital for diagnosis and diagnosis of left-sided crystal dissolve glaucoma, the proposed surgical treatment, in March 4, 1995 transferred to hospital. Check: visual acuity of the right eye 1.0, light perception of the left eye (-), the right eye crystal transparency, mixed conjunctival congestion of the left eye, corneal haze, a large number of corneal brown KP, anterior chamber deep, iris color brown, Atrophy with part of the adhesion, the surface of the iris a small amount of gray sheet-like deposits, the pupil about 4mm, photoreaction disappeared, the crystals were uneven brown turbidity, nuclear sinking, intraocular pressure: 2.73kPa right eye, left eye 7.88kPa, X-ray: foreign body located in the ball wall. Admission diagnosis: the left eyeball different