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目的分析Harada病(原田氏病)误诊为中心性浆液性脉络膜视网膜病变(简称中浆)的原因。方法 2007-01-2009-01共遇到8例误诊病例,误诊时间为4~15 d。结果 8例经正确诊断后及时予以大剂量糖皮质激素治疗,视力均明显提高。结论原田氏病及中浆在病史及临床表现上相同之处,但治疗上却截然相反。导致误诊的原因为眼科医师眼底病知识不够全面,未及时予以眼底荧光血管造影(FFA)及OCT检查。
Objective To analyze the cause of misdiagnosis of Harada’s disease (Harada’s disease) as central serous chorioretinopathy (referred to as middle pulp). Methods A total of 8 cases of misdiagnosis were encountered during 2007-01-2009-01. The misdiagnosis time was 4-15 days. Results 8 cases were diagnosed promptly after the high-dose glucocorticoid treatment, visual acuity were significantly improved. Conclusion Harada disease and pulp in the history and clinical manifestations of the same place, but the treatment is diametrically opposite. The reason for the misdiagnosis was that ophthalmologist’s knowledge of ocular fundus disease was not comprehensive enough, and fundus fluorescein angiography (FFA) and OCT were not performed in time.