Department of Ophthalmology, Tokyo Medical University, Tokyo, Japan.
Ocul Immunol Inflamm. 2021 Jul 4;29(5):976-981. doi: 10.1080/09273948.2019.1709649. Epub 2020 Feb 18.
: We investigated the changes in etiology of uveitis at the Uveitis Clinic of Tokyo Medical University Hospital in recent years.: Medical records of patients with uveitis diagnosed between 2011 and 2017 (Group A) and between 2001 and 2007 (Group B) were reviewed.: 1,587 patients in group A and 1,507 patients in group B were analyzed. For noninfectious uveitis, frequencies of Vogt-Koyanagi-Harada disease, intraocular lymphoma (IOL) and iridocyclitis in young girls increased, while those of sarcoidosis and Behçet's disease decreased in the recent era. For infectious uveitis, herpetic iridocyclitis, ocular toxoplasmosis, ocular syphilis, and bacterial endophthalmitis increased, while acute retinal necrosis and ocular toxocariasis decreased. Unclassified uveitis decreased, whereas infectious uveitis and IOL increased due to the availability of new diagnostic tests.: Etiologies of uveitis have changed over the years. Further development of novel tests and diagnostic criteria would increase definitive diagnosis for unclassified uveitis. (147/150 words).
我们调查了近年来东京医科大学医院葡萄膜炎诊所病因的变化。
回顾了 2011 年至 2017 年(A 组)和 2001 年至 2007 年(B 组)诊断为葡萄膜炎的患者的病历。对 A 组的 1587 例和 B 组的 1507 例患者进行了分析。在非感染性葡萄膜炎中,Vogt-Koyanagi-Harada 病、眼内淋巴瘤(IOL)和年轻女孩的虹膜炎发病率增加,而结节病和 Behçet 病的发病率在近期有所下降。在感染性葡萄膜炎中,疱疹性虹膜炎、眼弓形体病、眼梅毒和细菌性眼内炎的发病率增加,而急性视网膜坏死和眼弓蛔虫病的发病率下降。由于新的诊断测试的出现,未分类的葡萄膜炎减少,而感染性葡萄膜炎和 IOL 增加。
葡萄膜炎的病因多年来发生了变化。进一步开发新的检测和诊断标准将增加未分类葡萄膜炎的明确诊断。(147/150 字)