Ye Ping, Tang Kelvin, Hofbauer John, Weissman Barry A
Jules Stein Eye Institute, Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-7003, USA.
Eye Contact Lens. 2007 Jul;33(4):203-6. doi: 10.1097/ICL.0b013e31802b3133.
To describe an interesting case in which use of standard corneal topography in isolation from clinical observations could have misdiagnosed keratoconus as regular astigmatism.
Single patient case report.
Our patient received the correct diagnosis and appropriate contact lens treatment that resulted in optimal vision and tolerance. CONCLUSIONS. Use of either or both careful clinical slit lamp biomicroscopy and history or more sophisticated corneal topography analysis can detect keratoconus that standard corneal topography used in isolation from other clinical investigations may misdiagnose.
描述一个有趣的病例,在该病例中,仅使用标准角膜地形图而不结合临床观察可能会将圆锥角膜误诊为规则散光。
单病例报告。
我们的患者得到了正确的诊断和适当的隐形眼镜治疗,从而获得了最佳视力和耐受性。
仔细的临床裂隙灯生物显微镜检查和病史,或更复杂的角膜地形图分析,单独使用标准角膜地形图而不结合其他临床检查可能会误诊圆锥角膜,而前者能够检测出圆锥角膜。