Jones Nicholas P
Uveitis Clinic, Royal Eye Hospital, Manchester M13 9WH, UK.
Ophthalmol Clin North Am. 2002 Sep;15(3):319-26, vi. doi: 10.1016/s0896-1549(02)00021-4.
Sarcoidosis is a disease initiated by one or more unknown antigens in predisposed hosts, and causes noncaseating granulomatous inflammation. Uveitis is common and may affect any part of the eye. Protean systemic manifestations occur but pulmonary and cutaneous involvement is most common. Diagnosis is important; any suspicious uveitis should be investigated by relevant hematologic, radiologic, and invasive tests. A high proportion of patients require systemic corticosteroid or immunosuppressive treatment for uveitis. A significant minority become visually disabled because of macular scarring, glaucoma, or chorioretinal ischemia.
结节病是一种由易感宿主中一种或多种未知抗原引发的疾病,可导致非干酪样肉芽肿性炎症。葡萄膜炎很常见,可累及眼部的任何部位。会出现多种全身表现,但肺部和皮肤受累最为常见。诊断很重要;任何可疑的葡萄膜炎都应通过相关的血液学、放射学和侵入性检查进行排查。很大一部分患者的葡萄膜炎需要全身使用皮质类固醇或免疫抑制治疗。少数患者会因黄斑瘢痕、青光眼或脉络膜视网膜缺血而导致视力残疾。