Guseva M R
Vestn Oftalmol. 2004 Jan-Feb;120(1):15-9.
The structure, dynamic morbidity and clinical specificity of endogenous uveitis have been studied in different-age children in a Moscow district for as long as 30 years. The frequency of uveitis was determined for Moscow; it went up in the city, during the recent 15 years, 5-fold. On the basis of complex examinations of 1573 children with uveitis, the age-related, clinical-and-morphological and etiological specific features of uveitis were investigated. The rate and nature of complications after uveitis leading to the disablement due to blindness and poor vision were defined. Lipid peroxidation, body antioxidant protection, corticosterones and hydrocortisones as well as metabolism of acid glycosaminoglycans were found, according to biochemistry results, to be important in uveitis pathogenesis, which is a fundamental in working out the pathogenetic therapy and prognostication of uveitis. The thus elaborated system of clinical-and-laboratory and of therapeutic measures enhanced the efficiency of the early and differential diagnostics of uveitis and of the complex therapeutic treatment of the discussed severe pathology, which brought about a 2-fold cut of stay in hospital, improved the functional outcomes and reduced the complications' rate.
在莫斯科的一个地区,对不同年龄段儿童的内因性葡萄膜炎的结构、动态发病率和临床特异性进行了长达30年的研究。确定了莫斯科葡萄膜炎的发病率;在最近15年里,该市的发病率上升了5倍。在对1573例葡萄膜炎患儿进行综合检查的基础上,研究了葡萄膜炎与年龄相关的临床形态学和病因学特征。明确了葡萄膜炎后导致失明和视力低下致残的并发症发生率和性质。根据生化结果发现,脂质过氧化、机体抗氧化保护、皮质类固醇和氢化可的松以及酸性糖胺聚糖的代谢在葡萄膜炎发病机制中具有重要意义,这对于制定葡萄膜炎的致病疗法和预后至关重要。由此精心制定的临床实验室和治疗措施系统提高了葡萄膜炎早期和鉴别诊断的效率以及对上述严重病症的综合治疗效果,使住院时间缩短了一半,改善了功能预后并降低了并发症发生率。