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目的:分析老年人干眼症的误诊原因,并针对原因减少误诊率。方法:对门诊收治的82例老年人干眼症患者进行回顾性分析,以泪液分泌试验、泪膜破裂时间、角膜荧光素染色结果为诊断标准。结果:82例干眼症患者中误诊为慢性结膜炎者40例,占42%;过敏性结膜炎者20例,占24%;慢性泪囊炎者10例,占12%;眼部手术后8例,占10%;其他眼病4例,占5%。结论:由于临床医生对该病认识及重视程度不够,造成误诊,漏诊。
Objective: To analyze the causes of misdiagnosis of dry eye in the elderly and to reduce the misdiagnosis rate of the causes. Methods: A retrospective analysis was performed on 82 elderly patients with dry eye who were admitted to the clinic. The diagnostic criteria were tear secretion test, tear film rupture time and corneal fluorescein staining. Results: 82 cases of dry eye were diagnosed as chronic conjunctivitis in 40 cases (42%), allergic conjunctivitis in 20 cases (24%), chronic dacryocystitis in 10 cases (12%), ocular surgery 8 cases, accounting for 10%; other eye diseases in 4 cases, accounting for 5%. Conclusion: Because clinicians do not know enough about the disease and pay enough attention to it, it causes misdiagnosis and missed diagnosis.