Dagi Glass Lora R, Freitag Suzanne K
Ophthalmic Plastic Surgery Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
Ophthalmic Plastic Surgery Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
Surv Ophthalmol. 2016 Sep-Oct;61(5):670-3. doi: 10.1016/j.survophthal.2016.01.005. Epub 2016 Mar 10.
Orbital inflammation is common, and may affect all ages and both genders. By combining a thorough history and physical examination, targeted ancillary laboratory testing and imaging, a presumptive diagnosis can often be made. Nearly all orbital inflammatory pathology can be empirically treated with corticosteroids, thus obviating the need for histopathologic diagnosis prior to initiation of therapy. In addition, corticosteroids may be effective in treating concurrent systemic disease. Unless orbital inflammation responds atypically or incompletely, patients can be spared biopsy.
眼眶炎症很常见，可影响所有年龄段和男女两性。通过综合详尽的病史和体格检查、针对性的辅助实验室检查及影像学检查，通常可做出初步诊断。几乎所有眼眶炎性病变都可经验性地用皮质类固醇治疗，因此在开始治疗前无需进行组织病理学诊断。此外，皮质类固醇可能对治疗并发的全身性疾病有效。除非眼眶炎症反应不典型或不完全，否则患者可免于活检。
