Giles C L
Children's Hospital of Michigan, Department of Ophthalmology, Detroit 48201.
J Pediatr Ophthalmol Strabismus. 1989 May-Jun;26(3):136-9. doi: 10.3928/0191-3913-19890501-10.
Clinical findings, course, treatment, and complications of intermediate uveitis in children is analyzed in a series of 60 patients. While generally a chronic indolent disease, in the pediatric age group acute anterior uveitis is the presenting symptom rather than the milder symptomatology characterized in the adult with a similar syndrome. The etiologic evaluation of these patients was unrewarding. The great majority of patients improved following the use of periocular corticosteroid injections and retinal cryopexy, and immunosuppressive agents were infrequently employed in the management of the disorder. Cataract formation, secondary glaucoma, band keratopathy, vitreous hemorrhage, and papillitis were seen as complications. A treatment algorithm is presented.
对60例儿童中间葡萄膜炎的临床发现、病程、治疗及并发症进行了分析。虽然一般来说这是一种慢性轻症疾病，但在儿童年龄组中，急性前葡萄膜炎是主要症状，而非成人中类似综合征所具有的较轻症状表现。对这些患者的病因评估未取得结果。绝大多数患者在使用眼周皮质类固醇注射和视网膜冷冻治疗后病情改善，在该疾病的治疗中很少使用免疫抑制剂。白内障形成、继发性青光眼、带状角膜病变、玻璃体积血和视乳头炎被视为并发症。本文提出了一种治疗方案。
