Babu Kalpana, Shukla Sai Bhakti, Philips Mariamma
a Vittala International Institute of Ophthalmology & Prabha Eye Clinic and Research Center , Bangalore , India.
b Department of Biostatistics , National Institute of Mental Health Sciences , Bangalore , India.
Ocul Immunol Inflamm. 2017 Apr;25(2):253-258. doi: 10.3109/09273948.2015.1115082. Epub 2016 Jan 14.
To review the role of high resolution chest computed tomography (HRCT) in ocular sarcoidosis in a high TB endemic population.
This was a retrospective study.
Out of 140 cases, 54 had ocular sarcoidosis, while 86 cases had ocular tuberculosis. Abnormal HRCT findings was noted in 52 cases (96.3%) of ocular sarcoidosis compared with 55 cases (64.7%) of ocular tuberculosis (p = 0.001). Mediastinal lymphadenopathy was the most common finding in both groups (p = 0.544). Hilar lymphadenopathy and fissural nodules were significantly seen in ocular sarcoidosis (p = 0.001). Necrosis was seen in three cases of ocular sarcoidosis. In nearly half of the cases, it was not possible to differentiate between sarcoidosis and tuberculosis on HRCT.
HRCT is a useful diagnostic tool in ocular sarcoidosis. Bilateral hilar lymphadenopathy and fissural nodules are significant findings in ocular sarcoidosis. A confident diagnosis of ocular sarcoidosis is made by the amalgamation of results of clinical, radiologic, and other laboratory investigations.
回顾高分辨率胸部计算机断层扫描（HRCT）在结核病高发地区眼结节病中的作用。
这是一项回顾性研究。
140例患者中，54例患有眼结节病，86例患有眼结核病。眼结节病患者中52例（96.3%）HRCT检查结果异常，而眼结核病患者中55例（64.7%）HRCT检查结果异常（p = 0.001）。两组中最常见的表现均为纵隔淋巴结肿大（p = 0.544）。眼结节病患者中肺门淋巴结肿大和叶间裂结节更为常见（p = 0.001）。3例眼结节病患者出现坏死。几乎半数病例中，HRCT无法区分结节病和结核病。
HRCT是眼结节病的一种有用诊断工具。双侧肺门淋巴结肿大和叶间裂结节是眼结节病的重要表现。通过综合临床、放射学及其他实验室检查结果可确诊眼结节病。
