Uyama Masanobu
Department of Ophthalmology, Kansai Medical University, 13-8, Okamedani-Naizencho, Fushimi, Kyoto, Japan 612 0047.
Int Ophthalmol Clin. 2002 Winter;42(1):143-50. doi: 10.1097/00004397-200201000-00018.
Sarcoid uveitis is common, mostly in a chronic form, and is prevalent in women past middle age. The onset is insidious. Inflammation is commonly mild but persists for a long period and then is complicated by the development of macular edema, cataract, and glaucoma, resulting in visual loss. The diagnosis is made according to characteristic ocular signs and systemic investigations. Effective treatment consists primarily of long-term use of steroids. Nonetheless, 15% of cases of sarcoid uveitis demonstrate an unfavorable visual outcome.
结节病性葡萄膜炎很常见,多为慢性,在中年以上女性中更为普遍。起病隐匿。炎症通常较轻,但持续时间长,随后会并发黄斑水肿、白内障和青光眼,导致视力丧失。根据特征性眼部体征和全身检查进行诊断。有效的治疗主要包括长期使用类固醇。尽管如此,15%的结节病性葡萄膜炎病例视力预后不佳。