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目的探讨眼内异物误、漏诊的原因及减少误、漏诊的方法。方法回顾性分析外院或本科漏、误诊后经本科确诊的眼内异物患者11例(12眼)临床资料。结果经裂隙灯显微镜、眼底散瞳及眼部影像学检查确诊9例,经前房角镜结合超声生物显微镜检查确诊前房角异物1例,非金属异物经磁共振成像确诊1例;依异物定位情况分别采用外路或内路手术,12眼异物全部摘出。结论外伤史隐匿、部分医生对眼内异物的复杂性及其并发症重视不足为误诊常见原因,临床应详询眼外伤史,全面分析病情,多种检查方法相结合以降低误、漏诊率。一经确诊立即治疗,避免视功能恶化。
Objective To investigate the causes of misdiagnosis and missed diagnosis of intraocular foreign bodies and to reduce the errors and missed diagnosis. Methods The clinical data of 11 patients (12 eyes) with intraocular foreign body diagnosed by undergraduate or undergraduate were retrospectively analyzed. Results Nine cases were confirmed by slit lamp microscope, fundus dilation and ocular imaging examination. One case was confirmed by gonioscopy combined with ultrasound biomicroscopy. One case was diagnosed by non-metallic foreign body by magnetic resonance imaging. Positioning using external or internal surgery, respectively, all 12 foreign body excerpts. Conclusion The history of traumatic injury is obscure. Some doctors are not familiar with the complexity of intraocular foreign body and its complications. Misdiagnosis is one of the common causes of some misdiagnosis. Some clinicians should consult the history of ocular trauma in detail and comprehensively analyze the condition of disease. The combination of various examinations can reduce the misdiagnosis and misdiagnosis rate. Once diagnosed immediately treatment, to avoid deterioration of visual function.