Herbort Carl P
Retinal and Inflammatory Eye Diseases, Centre for Ophthalmic Specialized Care and University of Lausanne, Lausanne, Switzerland.
Middle East Afr J Ophthalmol. 2009 Oct;16(4):159-67. doi: 10.4103/0974-9233.58416.
This article presents a comprehensive approach of the diagnosis of anterior uveitis and appropriate investigational tests based on clinical signs.Uveitis has classically been presented by uveitis specialists as an obscure and complicated field in ophthalmology that was supposed to be restricted to the happy few who had the knowledge, which in some countries was even prevented from being diffused. The effect was that ophthalmologists turned away from uveitis or were not correctly armed when they chose to take care of uveitis patients. The consequences of this situation often fell upon the patients. Since more than 15 years our group has been represented by the Society for Ophthalmo-Immunoinfectiology in Europe (SOIE), which has been working to alter this image of uveitis and ensure that the knowledge of the basics of uveitis reaches the practicing ophthalmologist. Our firm believe is that up to 70% of uveitis cases, especially anterior uveitis, can be taken care of by the practicing ophthalmologist following a structured approach in the appraisal of the uveitis case. Judging from the attendance obtained, the response to our approach in every country (where we organise courses) has been inversely proportional to the previous disinterest since we started publicizing it.
本文介绍了一种基于临床体征对前葡萄膜炎进行诊断的综合方法以及适当的检查测试。传统上,葡萄膜炎专家认为葡萄膜炎是眼科中一个晦涩复杂的领域,只有少数具备相关知识的人才能涉足,在一些国家甚至禁止传播相关知识。结果是,眼科医生对葡萄膜炎避而远之,或者在选择治疗葡萄膜炎患者时没有做好充分准备。这种情况的后果往往由患者承担。15年多来,我们的团队一直代表欧洲眼免疫感染学会(SOIE),致力于改变葡萄膜炎的这种形象,并确保葡萄膜炎基础知识能为执业眼科医生所掌握。我们坚信,按照对葡萄膜炎病例进行评估的结构化方法,高达70%的葡萄膜炎病例,尤其是前葡萄膜炎病例,可由执业眼科医生进行处理。从参与人数来看,自我们开始宣传以来,在每个国家(我们在这些国家举办课程),对我们方法的反应与之前的冷漠程度成反比。