Dargin James M, Lowenstein Robert A
Department of Emergency Medicine, Boston University School of Medicine, Boston Medical Center, Boston, MA 02118, USA.
Emerg Med Clin North Am. 2008 Feb;26(1):199-216, viii. doi: 10.1016/j.emc.2007.10.001.
Emergency physicians are required to diagnose and treat patients who have a painful eye on a regular basis. This article focuses on ophthalmologic emergencies that range in presentation from mild to severe symptomatology and include vision and eye-threatening ailments. The etiology, pathophysiology, physical examination, and treatment of the following conditions are discussed: acute angle closure glaucoma, scleritis, anterior uveitis, optic neuritis, keratitis, and corneal abrasion. This article should provide the necessary information to allow for rapid diagnosis and initiation of appropriate treatment of the painful eye.
急诊医生需要定期诊断和治疗眼部疼痛的患者。本文重点关注眼科急症，其表现从轻微到严重症状不等，包括视力问题和威胁眼睛的疾病。文中讨论了以下病症的病因、病理生理学、体格检查和治疗方法：急性闭角型青光眼、巩膜炎、前葡萄膜炎、视神经炎、角膜炎和角膜擦伤。本文应提供必要信息，以便对眼部疼痛进行快速诊断并开始适当治疗。
