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双侧虹膜色素脱失和眼球压低为未经治疗的 Vogt-小柳原田病的终末期表现。

Bilateral Iris Depigmentation and Ocular Hypotony as End-Stage Manifestations of Untreated Vogt-Koyanagi-Harada Disease.

机构信息

a Ocular Immunology Department , School of Medicine, CES University , Medellín , Colombia.

b Immunology Department, School of Medicine and Health Sciences , Neuroscience Research Group, NeURos, Rosario University , Bogotá , Colombia.

出版信息

Ocul Immunol Inflamm. 2018;26(7):1101-1106. doi: 10.1080/09273948.2017.1320411. Epub 2017 May 26.

DOI:10.1080/09273948.2017.1320411
PMID:28548582
Abstract

PURPOSE

To describe severe bilateral iris depigmentation and persistent ocular hypotony as end-stage manifestations of untreated Vogt-Koyanagi-Harada disease.

METHODS

We present the clinical findings and diagnostic studies performed for three patients with bilateral iris depigmentation.

RESULTS

Vogt-Koyanagi-Harada disease in late recurrent stage was diagnosed in three patients with bilateral severe iris depigmentation and persistent ocular hypotony.

CONCLUSIONS

Early diagnosis and treatment of inflammation are crucial factors in the clinical outcome of Vogt-Koyanagi-Harada disease. When left undiagnosed and untreated from early stages, severe iris depigmentation and ocular hypotony, uncommon manifestations of this disease, can develop.

摘要

目的

描述未经治疗的 Vogt-小柳原田病(Vogt-Koyanagi-Harada disease,VKH)晚期的严重双侧虹膜色素脱失和持续性低眼压,作为该病的终末表现。

方法

我们介绍了 3 例双侧虹膜色素脱失患者的临床表现和诊断研究结果。

结果

3 例双侧严重虹膜色素脱失和持续性低眼压患者被诊断为晚期复发性 Vogt-Koyanagi-Harada 病。

结论

早期诊断和治疗炎症是 Vogt-Koyanagi-Harada 病临床转归的关键因素。如果在早期未被诊断和治疗,该病可能发展为罕见的严重虹膜色素脱失和低眼压等终末表现。

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引用本文的文献

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Bilateral Iris depigmentation, transillumination defects and hypotony in Vogt-Koyanagi-Harada disease.伏格特-小柳-原田病中的双侧虹膜色素脱失、透照缺损和低眼压
Indian J Ophthalmol. 2022 Jul;70(7):2682-2684. doi: 10.4103/ijo.IJO_331_22.
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Long-term efficacy of dexamethasone intravitreal implant in the treatment of Vogt-Koyanagi-Harada disease relapsing posterior uveitis.地塞米松玻璃体内植入剂治疗 Vogt-小柳原田病复发后葡萄膜炎的长期疗效。
Indian J Ophthalmol. 2022 Jul;70(7):2465-2470. doi: 10.4103/ijo.IJO_260_22.