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结节病(Sarcoidosis)1/4的病人眼部受累。大多数影响前节,但后节受累也不少见。后节改变包括玻璃体细胞浸润、静脉周围炎、脉络膜视网膜疤痕、视乳头水肿、黄斑水肿,以及少见的新生血管增生。眼部结节病人有25%为后节受累,甚至可以只有后节病变。本文研究一组经组织学证实的结节病患者的眼底改变特点,以及这些特点与自然病史及视力预后的关系。经活体检查或Kveim试验证实的结节病36例,均有眼部变化。如视网膜静脉周围炎、视乳头水肿、黄斑水肿或色素上皮改变。诊断:结节病诊断困难。最好能在不同器官中找到非干酪化的肉芽肿,但活体检查时常不可能作到。Kveim试验是很麻烦的,并受激素治疗的影响。其病理解释有时也很困难,可以有
One fourth of patients with sarcoidosis have eye problems. Most affect the anterior section, but the posterior section involvement is not uncommon. Late posterior changes include vitreous infiltration, peripancreatic inflammation, chorioretinal scarring, papilledema, macular edema, and rare neovascular proliferation. Ocular nodules, 25% of patients are involved in the latter section, and even only the posterior node lesions. This article studies the characteristics of fundus changes in a group of histologically proven sarcoidosis patients, and their association with natural history and vision outcomes. 36 cases of sarcoidosis confirmed by biopsy or Kveim test had ocular changes. Such as retinal vein inflammation, papilledema, macular edema or pigment epithelial changes. Diagnosis: sarcoidosis diagnosis difficult. It is best to find non-cheating granulomas in different organs, but often not possible with biopsies. The Kveim trial is troublesome and is affected by hormone therapy. The pathological interpretation is sometimes very difficult, you can have