Harada T
Nihon Rinsho. 1999 Nov;57(11):2575-9.
Ocular complications in ulcerative colitis has been reviewed. Ocular complications usually occur in 1% of patients with ulcerative colitis(UC) and include anterior uveitis, episcleritis and conjunctivitis in the order of increasing frequency. Anterior uveitis represents most common ocular complications encountered in UC and most belongs to a nongranulomatous variety, accompanied by a hypopyon in 50% of UC. Although occasionally compromised first by an intensive hypopyon, outcomes in visual acuity, in the majority of cases, are favorable. The anterior uveitis usually is able to be treated with topical or sub-Tenon injections of corticosteroids combined with short-acting mydriatics. Uveitis occurs after UC in 82% of cases and in 18%, contemporary with. Preceded by arthritis, uveitis arise in 44% of UC patients in Japan.
溃疡性结肠炎的眼部并发症已被综述。眼部并发症通常发生在1%的溃疡性结肠炎(UC)患者中,按发生频率递增依次包括前葡萄膜炎、巩膜炎和结膜炎。前葡萄膜炎是UC中最常见的眼部并发症,且大多属于非肉芽肿性类型,50%的UC患者伴有前房积脓。尽管偶尔会首先出现严重的前房积脓,但在大多数情况下,视力预后良好。前葡萄膜炎通常可用局部或Tenon囊下注射皮质类固醇联合短效散瞳剂进行治疗。82%的病例中葡萄膜炎发生在UC之后,18%与UC同时发生。在日本,44%的UC患者在关节炎之后出现葡萄膜炎。