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AIM: To analyze the reason of misdiagnosis and differential diagnosis of acute angle-closure glaucoma in acute episode time in 28 cases. METHODS: Three typical misdiagnosis examples were analyzed. RESULTS: Fifteen cases were misdiagnozed as hyperpiesia, 9 as intracranial hypertension, 4 as acute gastroenteritis, and counteract glaucoma operation was performed in 22 cases after final diagnosis, drug expectant treatment was performed in 6 cases. Vision exceeded 0. 5 in 15 cases, hand movement in 2 cases. CONCLUSION: Deficient physician's cognition to acute angle-closure glaucoma is the main reason for misdiagnosis. The strengthening of diagnosis consciousness and attaching importance to examination of eyes are the key for avoiding misdiagnosis. LA: Chinese
H.-S. Bi. Eye Center of Shandong University of Traditional Chinese Medicine, Shierming Eye Hospital, Jinan 250002, Shandong Province, China. b66hong66@yahoo.com.cn
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)