Kadayifçilar S, Irkeç M, Eldem B
Hacettepe University School of Medicine, Department of Ophthalmology, Ankara, Turkey.
Eur J Ophthalmol. 2003 Jul;13(6):584-7. doi: 10.1177/112067210301300614.
To describe a case of sympathetic ophthalmia (SO) associated with ocular and cerebral vasculitis.
The authors report a 38-year-old woman who presented with bilateral uveitis 7 years after a penetrating trauma to the right eye. Ocular examination included fundus fluorescein and indocyanine green angiography. Medical history disclosed an episode of dysarthria and right-sided weakness.
Anterior uveitis was present in the previously injured pseudophakic right eye, which harbored a piece of glass stuck in the lower temporal iris. In the left eye, vitreal inflammation with retinal sheathing and subretinal lesions was predominant. Besides retinal vasculitis, fundus angiography showed choroidal vasculitis. Neurologic studies were compatible with cerebral vasculitis.
In SO, choroidal vasculitis that is invisible clinically can be demonstrated angiographically. Although rare, inflammation can also affect the nervous system.
描述一例与眼和脑血管炎相关的交感性眼炎（SO）病例。
作者报告一名38岁女性，右眼穿透伤7年后出现双侧葡萄膜炎。眼部检查包括眼底荧光素和吲哚菁绿血管造影。病史显示有一次构音障碍和右侧肢体无力发作。
先前受伤的人工晶状体植入的右眼存在前葡萄膜炎，颞下虹膜下部嵌有一块玻璃。左眼以玻璃体炎症伴视网膜鞘膜形成和视网膜下病变为主。除视网膜血管炎外，眼底血管造影显示脉络膜血管炎。神经学检查结果与脑血管炎相符。
在交感性眼炎中，临床上不可见的脉络膜血管炎可通过血管造影显示。虽然罕见，但炎症也可累及神经系统。
