a Department of Ophthalmology, CHU St-Pierre and Brugmann , Université Libre de Bruxelles , Bruxelles , Belgium.
b Department of Ophthalmology, CHU St-Pierre , Université Libre de Bruxelles , Bruxelles , Belgium.
Ocul Immunol Inflamm. 2018;26(5):726-731. doi: 10.1080/09273948.2018.1468470. Epub 2018 Jun 5.
Diagnosis of uveitis is often challenging, but can be easy in typical viral-induced anterior uveitis (VIAU). Associated symptoms and signs are an important source of information. Certain classical clinical features such as keratic precipitates (KPs) distribution, iris atrophy, elevated intraocular pressure (IOP), and unilaterality are commonly used to support the diagnosis of VIAU. However, many etiologies of anterior uveitis may to a certain extent mimic VIAU, especially the ones with unilateral granulomatous KPs and elevated IOP. This review begins with how the clinician can differentiate viral from nonviral anterior uveitis, and subsequently focuses on the key features which may aid in differentiating among the different viruses that cause VIAU.
葡萄膜炎的诊断通常具有挑战性,但在典型的病毒引起的前葡萄膜炎(VIAU)中则较为容易。相关症状和体征是重要的信息来源。某些典型的临床特征,如角膜后沉淀物(KPs)的分布、虹膜萎缩、眼内压(IOP)升高和单侧性,通常用于支持 VIAU 的诊断。然而,许多前葡萄膜炎的病因在某种程度上可能类似于 VIAU,特别是单侧肉芽肿性 KPs 和 IOP 升高的情况。本综述首先介绍了临床医生如何区分病毒性和非病毒性前葡萄膜炎,然后重点介绍了有助于区分引起 VIAU 的不同病毒的关键特征。