Benson W E
Retina Service, Wills Eye Hospital, Philadelphia, Pennsylvania.
Surv Ophthalmol. 1988 Mar-Apr;32(5):297-316. doi: 10.1016/0039-6257(88)90093-8.
Posterior scleritis must be considered in the differential diagnosis of many ocular conditions, including angle closure glaucoma, choroidal folds, optic disk edema, circumscribed fundus mass, choroidal detachment, and exudative retinal detachment. Because it is rare, a high index of suspicion is necessary. Anterior scleritis, pain, or a history of collagen-vascular disease, when present, help to alert the clinician to the correct diagnosis. Posterior scleritis affects women more often than men, but annular ciliochoroidal effusion and choroidal folds are more common in men. Exudative macular detachment and a circumscribed fundus mass are more common in women. This paper reviews the world literature on posterior scleritis and describes findings in a series of 43 patients seen at Wills Eye Hospital. It stresses the clinical features and ancillary diagnostic tests that help to establish the diagnosis.
在许多眼部疾病的鉴别诊断中，必须考虑后巩膜炎，这些疾病包括闭角型青光眼、脉络膜皱褶、视盘水肿、局限性眼底肿物、脉络膜脱离和渗出性视网膜脱离。由于其罕见，需要高度怀疑指数。当存在前巩膜炎、疼痛或胶原血管病史时，有助于提醒临床医生做出正确诊断。后巩膜炎女性比男性更常受累，但环形睫状脉络膜积液和脉络膜皱褶在男性中更常见。渗出性黄斑脱离和局限性眼底肿物在女性中更常见。本文回顾了关于后巩膜炎的世界文献，并描述了在威尔斯眼科医院就诊的43例患者的检查结果。它强调了有助于确立诊断的临床特征和辅助诊断检查。
