Sakai J-I, Usui Y, Sakai M, Yokoi H, Goto H
Department of Ophthalmology, Tokyo Medical University, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Int Ophthalmol. 2010 Jun;30(3):297-301. doi: 10.1007/s10792-009-9336-5. Epub 2010 Jan 8.
We compared uveitis patients who attended a general eye clinic (n = 183) with those who attended the ophthalmology department of a university hospital (n = 550) to examine factors that affect the clinical statistics of uveitis outpatients. We observed that diabetic iritis and herpetic iritis were significantly more frequent in the clinic whereas Vogt-Koyanagi-Harada disease and Behcet's disease were significantly more common in the university hospital. Among the so-called three leading uveitis, Behcet's disease and Vogt-Koyanagi-Harada disease were relatively rare in the general clinic; they might be concentrated in the university hospital setting because these diseases require treatment at specialist hospitals. In addition, uveitis secondary to underlying diseases such as diabetic iritis and transient non-granulomatous iridocyclitis was generally not referred to specialist hospitals. These factors may account for the differences in disease frequencies observed between the two facilities.
我们将在普通眼科门诊就诊的葡萄膜炎患者(n = 183)与在大学医院眼科就诊的患者(n = 550)进行比较,以研究影响葡萄膜炎门诊患者临床统计数据的因素。我们观察到,糖尿病性虹膜炎和疱疹性虹膜炎在普通门诊更为常见,而伏格特-小柳-原田病和贝赫切特病在大学医院更为普遍。在所谓的三大主要葡萄膜炎中,贝赫切特病和伏格特-小柳-原田病在普通门诊相对少见;它们可能集中在大学医院,因为这些疾病需要在专科医院进行治疗。此外,继发于潜在疾病的葡萄膜炎,如糖尿病性虹膜炎和短暂性非肉芽肿性虹膜睫状体炎,一般不会转诊至专科医院。这些因素可能解释了两个机构之间观察到的疾病频率差异。