后巩膜炎的临床特征与表现：31例报告
Clinical features and presentation of posterior scleritis: a report of 31 cases.
作者信息
Gonzalez-Gonzalez Luis Alonso, Molina-Prat Nicolas, Doctor Priyanka, Tauber Joseph, Sainz de la Maza Maite, Foster C Stephen
机构信息
Massachusetts Eye Research and Surgery Institution, Cambridge, Massachusetts, USA; and Ocular Immunology and Uveitis Foundation, Cambridge , Massachusetts , USA .
出版信息
Ocul Immunol Inflamm. 2014 Jun;22(3):203-7. doi: 10.3109/09273948.2013.840385. Epub 2013 Oct 16.
PURPOSE
To describe clinical features, ocular complications, and visual outcomes of patients with posterior scleritis.
METHODS
Clinical characteristics of a subset of 31 patients with posterior scleritis were studied and compared with 469 patients with anterior scleritis.
RESULTS
Of 500 patients, 31 (6.2%) had posterior scleritis. Most patients presented with subacute (80.6%), unilateral (61.3%) scleral inflammation. Pain was moderate to severe in 54.8% of patients. Concomitant anterior scleritis was observed during follow-up in 77.4% of patients and in all patients with moderate to severe pain. Patients with posterior scleritis were significantly younger (43.6 vs. 54.4 years, p < 0.001) and had significantly higher decrease of vision (29.0 vs. 14.9%, p = 0.027) than those with isolated anterior scleritis.
CONCLUSIONS
Posterior scleritis must be considered in patients with decrease of vision, mild to severe pain, optic disc edema, and/or posterior uveitis. Moderate to severe pain may be associated with poorer visual outcome.
目的
描述后巩膜炎患者的临床特征、眼部并发症及视力预后。
方法
研究31例后巩膜炎患者亚组的临床特征，并与469例前巩膜炎患者进行比较。
结果
500例患者中，31例（6.2%）患有后巩膜炎。大多数患者表现为亚急性（80.6%）、单侧（61.3%）巩膜炎症。54.8%的患者疼痛为中度至重度。随访期间，77.4%的患者及所有中度至重度疼痛患者均观察到合并前巩膜炎。后巩膜炎患者比单纯前巩膜炎患者显著年轻（43.6岁对54.4岁，p<0.001），视力下降显著更高（29.0%对14.9%，p = 0.027）。
结论
视力下降、轻至重度疼痛、视盘水肿和/或后葡萄膜炎患者必须考虑后巩膜炎。中度至重度疼痛可能与较差的视力预后相关。
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