Arellanes-García Lourdes, del Carmen Preciado-Delgadillo María, Recillas-Gispert Claudia
Inflammatory Eye Diseases Clinic, 'Dr Luis Sánchez Bulnes' Hospital, Asociación para Evitar la Ceguera en México, Coyoacán,
Ocul Immunol Inflamm. 2002 Jun;10(2):125-31. doi: 10.1076/ocii.10.2.125.13976.
To describe the clinical features of Fuch's heterochromic iridocyclitis (FHI) in dark-eyed Mexican patients.
A longitudinal, retrospective, and analytical study of the clinical features of FHI patients was performed. It reviewed the clinical charts of all patients with a diagnosis of FHI seen at the Inflammatory Eye Diseases Clinic of 'Dr. Luis Sánchez Bulnes' Hospital between April 1988 and September 1999.
Data of 68 patients (136 eyes) were reviewed. One eye was affected in 89.71% of the cases (61 patients). Fifty patients had brown eyes and iris heterochromia was clinically evident in 25%. Mild stellate keratic precipitates were seen in 80% of the affected eyes. Blurring of the iris surface was found in 40 eyes; iris nodules (Koeppe and/or Busacca) were present in half the cases. A cataract was observed in 69% of the affected eyes, 57.7% of which underwent surgery. Ocular hypertension was present in 30.66% of the affected eyes, glaucoma in 4%.
The more common clinical features in this group of patients were fine and stellate keratic precipitates, atrophy of the iris crypts, and iris nodules. Clinically evident iris heterochromia was present in only 25% of the affected eyes. FHI diagnosis in brown-eyed patients cannot rely on iris heterochromy only.
描述深色眼睛墨西哥患者的富克斯异色性虹膜睫状体炎（FHI）的临床特征。
对FHI患者的临床特征进行了纵向、回顾性和分析性研究。回顾了1988年4月至1999年9月在“路易斯·桑切斯·布尔内斯博士”医院炎性眼病诊所就诊的所有诊断为FHI的患者的临床病历。
回顾了68例患者（136只眼）的数据。89.71%的病例（61例患者）单眼受累。50例患者为棕色眼睛，25%的患者临床上有虹膜异色。80%的患眼中可见轻度星状角膜后沉着物。40只眼中发现虹膜表面模糊；半数病例有虹膜结节（科佩结节和/或布萨卡结节）。69%的患眼中观察到白内障，其中57.7%接受了手术。30.66%的患眼中存在高眼压，4%的患眼中存在青光眼。
该组患者较常见的临床特征为细小星状角膜后沉着物、虹膜隐窝萎缩和虹膜结节。仅25%的患眼中临床上有明显的虹膜异色。棕色眼睛患者的FHI诊断不能仅依靠虹膜异色。
