Axente Diana
Spitalul Militar Central, Bucuresti.
Oftalmologia. 2006;50(4):13-21.
Inflammation involving the retinal vasculature may occur as an isolated finding unrelated to an identifiable underlying diagnosis, termed primary retinal vasculitis, or may be associated with a myriad of both ocular and systemic pathology. Retinal vasculitis is most accurately defined as vascular leakage and staining of vessel walls on fluorescein angiography, with or without the clinical appearance of fluffy, white perivascular infiltrates in the eye with evidence of inflammatory cells in the vitreous body or aqueous humor. Management of retinal vasculitis requires a dualistic approach: one, to control ocular inflammation and reverse a potentially sight-threatening condition, and two, to spare no effort in identifying and treating concomitant, and in many cases, life- threatening systemic disease.
累及视网膜血管系统的炎症可能作为一种独立发现出现，与可明确的潜在诊断无关，称为原发性视网膜血管炎，也可能与多种眼部和全身病变相关。视网膜血管炎最准确的定义是在荧光素血管造影上血管渗漏和血管壁染色，无论眼部是否有蓬松的白色血管周围浸润的临床表现以及玻璃体或房水中有炎症细胞的证据。视网膜血管炎的治疗需要采取双重方法：其一，控制眼部炎症并逆转潜在的威胁视力的状况；其二，不遗余力地识别和治疗伴随的、在许多情况下危及生命的全身性疾病。
