Côté M A, Rao N A
Doheny Eye Institute, University of Southern California School of Medicine, Los Angeles.
Int Ophthalmol. 1990 Oct;14(5-6):309-16. doi: 10.1007/BF00163550.
Intraocular inflammation/uveitis is one of the more poorly understood areas in the field of ophthalmology. We hope to improve this understanding by first reviewing the classic histopathologic approach to intraocular inflammation, and then by integrating that with the current role of histopathology in the diagnosis and management of uveitis. Herein, we will present a systematic approach, beginning with the most accessible conjunctival, lacrimal gland and lymph node biopsy sites; extending through anterior chamber tap, iris biopsy, and vitrectomy and ending with retinal or chorioretinal biopsy of distant organ sites. We will show how a combination of these histopathologic elements can aid in the diagnosis, and thereby the management, of intraocular inflammations and uveitis.
眼内炎症/葡萄膜炎是眼科领域中了解较少的领域之一。我们希望通过首先回顾眼内炎症的经典组织病理学方法,然后将其与组织病理学在葡萄膜炎诊断和管理中的当前作用相结合来增进这种理解。在此,我们将介绍一种系统方法,从最易获取的结膜、泪腺和淋巴结活检部位开始;延伸至前房穿刺、虹膜活检和玻璃体切除术,最后以远处器官部位的视网膜或脉络膜视网膜活检结束。我们将展示这些组织病理学要素的组合如何有助于眼内炎症和葡萄膜炎的诊断,从而有助于其管理。