黎巴嫩某三级医疗中心眼部炎性疾病的病因及临床特征
Etiology and Clinical Features of Ocular Inflammatory Diseases in a Tertiary Center in Lebanon.
作者信息
Abdulaal Marwan, Antonios Rafic, Barikian Anita, Jaroudi Mahmoud, Hamam Rola N
机构信息
a Department of Ophthalmology , American University of Beirut , Beirut , Lebanon.
出版信息
Ocul Immunol Inflamm. 2015 Aug;23(4):271-277. doi: 10.3109/09273948.2014.902077. Epub 2014 Jun 9.
PURPOSE
To identify the pattern of uveitis in patients presenting to the American University of Beirut Medical Center (AUBMC) uveitis service in Lebanon.
METHODS
The charts of patients seen between January 2009 and September 2011 were retrospectively reviewed. Data pertaining to patient demographics, eye examination on presentation, workup, and final diagnoses were collected.
RESULTS
The total number of charts reviewed was 209. The most common noninfectious etiologies were Behçet disease, sarcoidosis, and HLA-B27-associated uveitis, while toxoplasmosis, herpes, and tuberculosis were the most common infectious etiologies. The mean duration of the disease before presentation to our center was 38 ± 56 months (range 0-284 months), with cataract formation in 90/234 (38%) and visual impairment in 134/291 (46%) eyes on presentation.
CONCLUSIONS
This case series reveals a significant delay in referring uveitis cases to a specialized center, which may contribute to the high percentage of patients presenting with ocular complications.
目的
确定前往黎巴嫩贝鲁特美国大学医学中心（AUBMC）葡萄膜炎诊疗科室就诊患者的葡萄膜炎模式。
方法
回顾性分析2009年1月至2011年9月间就诊患者的病历。收集患者人口统计学资料、初诊时的眼部检查、检查结果及最终诊断等数据。
结果
共查阅209份病历。最常见的非感染性病因是白塞病、结节病和HLA - B27相关葡萄膜炎，而弓形虫病、疱疹和结核病是最常见的感染性病因。患者在前来本中心就诊前疾病的平均持续时间为38±56个月（范围0 - 284个月），初诊时90/234（38%）的患者出现白内障，134/291（46%）的患眼存在视力损害。
结论
该病例系列显示葡萄膜炎患者转诊至专科中心存在显著延迟，这可能是导致出现眼部并发症的患者比例较高的原因。
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