Massachussets Eye Research and Surgery Institution, Cambridge, Massachusetts 02142, USA.
Ocul Immunol Inflamm. 2011 Jun;19(3):158-66. doi: 10.3109/09273948.2011.557759.
Signs and symptoms of pigment dispersion may be confused with those of acute anterior uveitis. This case series is intended to aid the ophthalmologist in the clinical differentiation between these two disorders.
The authors present a series of 6 patients with pigment dispersion who were initially diagnosed as having acute anterior uveitis and treated with anti-inflammatory medication, including corticosteroids. The patients were referred for a second opinion due to poor or no response to therapy and were found to have pigment dispersion instead of uveitis.
Symptoms of pigment dispersion may consist of blurred vision, redness, ocular pain, and photophobia, all of which are also symptoms of acute anterior uveitis. These symptoms, plus the fact that pigment floating in the aqueous humor can be mistaken for inflammation, make diagnosis challenging. Moreover, the possible co-existence of true anterior uveitis and pigment dispersion makes the diagnosis and treatment more difficult.
色素播散的症状可能与急性前葡萄膜炎的症状混淆。本病例系列旨在帮助眼科医生对这两种疾病进行临床鉴别。
作者介绍了 6 例最初被诊断为急性前葡萄膜炎并接受抗炎药物治疗（包括皮质类固醇）的色素播散患者。由于对治疗反应不佳或无反应，患者被转介进行第二次诊断，结果发现他们患有色素播散而不是葡萄膜炎。
色素播散的症状可能包括视力模糊、眼红、眼痛和畏光，这些都是急性前葡萄膜炎的症状。这些症状，加上房水中漂浮的色素可能被误认为炎症，使得诊断具有挑战性。此外，真正的前葡萄膜炎和色素播散的可能同时存在使得诊断和治疗更加困难。
