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[穿孔伤后局限性脉络膜肉芽肿性炎症。四只眼的组织病理学研究]

[Circumscribed choroidal granulomatous inflammation after perforating injury. A histopathological study of four eyes].

作者信息

Dithmar S, Völcker H E, Grossniklaus H E

机构信息

Universitäts-Augenklinik Heidelberg.

出版信息

Klin Monbl Augenheilkd. 2000 Oct;217(4):236-9. doi: 10.1055/s-2000-10355.

Abstract

BACKGROUND

This study was performed to describe the clinicopathologic features of patients wo showed circumscribed choroidal granulomatous inflammation after trauma.

METHODS

We examined histologically 4 eyes which had been enucleated within 4 weeks after treatment for perforating trauma. The second eyes of the patients were not affected.

RESULTS

Four enucleated eyes with perforating injuries had focal uveal granulomatous inflammation of the posterior choroid. None of these eyes contained Dalen-Fuchs' nodules. One eye had a disrupted lens without lens-induced inflammation. All eyes exhibited choroidal ruptures. Foreign material could be detected in one of these eyes.

CONCLUSIONS

Focal choroidal granulomatous inflammation may occur as a result of penetrating ocular trauma. The origin of this condition is unknown, although a foreign body reaction and choroidal rupture may be involved in the pathogenesis of the granulomatous inflammation.

摘要

背景

本研究旨在描述外伤后出现局限性脉络膜肉芽肿性炎症患者的临床病理特征。

方法

我们对4例因穿通伤治疗后4周内摘除眼球的患者进行了组织学检查。患者的另一只眼未受影响。

结果

4只因穿通伤摘除的眼球均有后脉络膜局灶性葡萄膜肉芽肿性炎症。这些眼球均未发现达伦-富克斯结节。1只眼晶状体破裂但无晶状体诱导的炎症。所有眼球均有脉络膜破裂。其中1只眼可检测到异物。

结论

穿通性眼外伤可能导致局限性脉络膜肉芽肿性炎症。尽管异物反应和脉络膜破裂可能参与肉芽肿性炎症的发病机制,但这种情况的病因尚不清楚。

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