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印度一家三级眼科医院葡萄膜炎性低眼压的模式。

Pattern of Uveitic Hypotony in a Tertiary Eye Hospital in India.

机构信息

a Department of Uvea , Sankara Nethralaya , Chennai , India.

b Sankara Nethralaya , Chennai , India.

出版信息

Ocul Immunol Inflamm. 2018;26(6):924-928. doi: 10.1080/09273948.2017.1294183. Epub 2017 Mar 20.

DOI:10.1080/09273948.2017.1294183
PMID:28318342
Abstract

PURPOSE

To report pattern of uveitic patients with hypotony in Indian population.

METHODS

Retrospective medical record review of 30 eyes of 21 consecutive patients with uveitic hypotony. Patient demographics, ocular findings and systemic association were recorded.

RESULTS

Mean age of the patients was 29.5 years (range 7-71 years) and 80.9%(17 patients) were below the age of 40 years. Most common complaint associated with the development of hypotony was diminution of vision (26 eyes; 86.6%), and cells in anterior vitreous (25 eyes, 83.3%) were the most common slit-lamp finding. Most common type of ocular inflammation causing hypotony was panuveitis (14, 46.6%), and ocular tuberculosis (5; 23.8%) was the most common cause of uveitis in these patients.

CONCLUSION

Ocular hypotony is a rare but dreaded complication of uveitis. The etiology of uveitic hypotony is not uniform across the world, and tuberculosis remains an important cause of uveitic hypotony in tuberculosis endemic country like India.

摘要

目的

报告印度人群中葡萄膜炎伴低眼压患者的发病模式。

方法

对 21 例连续葡萄膜炎伴低眼压患者的 30 只眼进行回顾性病历回顾。记录患者的人口统计学资料、眼部表现和全身相关性。

结果

患者的平均年龄为 29.5 岁(7-71 岁),80.9%(17 名患者)年龄低于 40 岁。与低眼压发展相关的最常见主诉是视力下降(26 只眼;86.6%),前玻璃体内细胞(25 只眼,83.3%)是最常见的裂隙灯检查发现。导致低眼压的最常见眼部炎症类型是全葡萄膜炎(14 只眼,46.6%),而眼部结核(5 只眼,23.8%)是这些患者葡萄膜炎的最常见病因。

结论

眼球压低是葡萄膜炎的一种罕见但可怕的并发症。葡萄膜炎性眼球压低的病因在世界各地并不统一,在结核病流行的印度等国家,结核病仍然是葡萄膜炎性眼球压低的重要病因。

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