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[HLA B27(+)虹膜睫状体炎中眼后节受累情况。发病率。手术治疗的价值]

[Involvement of the posterior eye segment in HLA B27(+) iridocyclitis. Incidence. Value of surgical treatment].

作者信息

Bayen H, Bayen M C, De Curzon H P, Espinasse-Berrod M A, Manderieux N, Furia M, Campinchi R

机构信息

Service d'ophtalmologie, Hôpital Lariboisière, Paris.

出版信息

J Fr Ophtalmol. 1988;11(8-9):561-6.

PMID:3068282
Abstract

46 patients with the association of acute anterior uveitis and the presence of HLA B27 antigen were studied. Ankylosing spondylitis was found in 19 patients (41.3%). Ophthalmoscopy showed a diffuse vitreous haze in 63%, a macular disease in 21.7%, a papillitis in 17.4%. We performed pars plana vitrectomy on 8 patients (10 eyes) with severe posterior uveitis and/or cystoid macular edema. The postoperative follow-up period averaged 14 months with visual acuity improvement in 5 eyes. The surgical indications are described.

摘要

对46例伴有急性前葡萄膜炎且存在HLA B27抗原的患者进行了研究。发现19例患者(41.3%)患有强直性脊柱炎。检眼镜检查显示63%的患者有弥漫性玻璃体混浊,21.7%的患者有黄斑病变,17.4%的患者有视乳头炎。我们对8例(10只眼)患有严重后葡萄膜炎和/或黄斑囊样水肿的患者进行了玻璃体切除术。术后平均随访14个月,5只眼视力提高。描述了手术指征。

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