原发性闭角型青光眼急性发作期误诊分析

Analysis of Misdiagnosis on Acute Episode of Primary Angle-Closure Glaucoma

摘要: 原发性闭角型青光眼急性发作是眼科的急症、重症，具有典型临床表现时容易诊断。当眼部症状不典型或全身症状明显时，容易被内科医师或急诊科医师误诊，延误了治疗时机，造成视功能永久性损害。临床医师需要加强对闭角型青光眼的认识，做到早期诊断和治疗。

Abstract: Acute episode of primary angle-closure glaucoma is a sight threatening ophthalmic emergency. When it presents in its classical form, the diagnosis is fairly simple to make. However, sometimes the presentation is less dramatic or more systemic than ocular. Physician and emergency physician are most likely to make a misdiagnosis. This inevitably leads to a delay in treatment which can permanently compromise visual function. It is important for clinicians to reinforce the knowledge of angle-closure glaucoma, and make the early diagnosis and therapy as soon as possible.