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[交感性眼炎,一种被遗漏的疾病?]

[Sympathetic ophthalmia, one missing disease?].

作者信息

Cernea P, Leulescu C

机构信息

Clinica Oftalmologică-Craiova.

出版信息

Oftalmologia. 1997;41(2):52-5.

Abstract

Between 1992-1996 were treated ten cases with sympathetic ophthalmia, representing 0.16% from all hospitalized patients, in Ophthalmological Clinic from Craiova. The disease appeared after corneo-scleral penetrating wounds with membranes hernia at four cases; three from them was complications after cataract surgery and required long treatments; other two patients had glaucoma with closed angle in irreversible stages; another one presented herpetic cornea perforated ulceration with uveitis. Since ocular trauma until appearance of sympathetic ophthalmia, the time was two months at eight cases and two years at two cases. Under clinical aspect seven cases evolved like an anterior uveitis, two cases like a panuveitis and one like a uveopapillitis. Pathologic exam on the removed eye was not specific for sympathetic ophthalmia and only the clinical examination established the diagnosis. Under corticotherapy and immunomodulator therapy, sympathetic ophthalmia evolves this days benign. The disease should not be underestimated. It is not a disappeared disease..

摘要

1992年至1996年间,克拉约瓦眼科诊所治疗了10例交感性眼炎患者,占所有住院患者的0.16%。4例患者在角膜巩膜穿通伤伴膜疝后发病;其中3例是白内障手术后的并发症,需要长期治疗;另外2例患者处于不可逆阶段的闭角型青光眼;还有1例患者患有疱疹性角膜穿孔性溃疡伴葡萄膜炎。从眼外伤到交感性眼炎出现,8例患者的时间为两个月,2例患者为两年。临床方面,7例患者表现为前葡萄膜炎,2例表现为全葡萄膜炎,1例表现为葡萄膜视乳头炎。摘除眼球的病理检查对交感性眼炎不具有特异性,仅通过临床检查确诊。在皮质类固醇疗法和免疫调节剂疗法下,如今交感性眼炎病情发展较为良性。该病不应被低估。它并非已消失的疾病。

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