Nissen Michael, Guex-Crosier Yan
Département de rhumatologie, Hôpital Beau-Séjour, HUG, 1211 Genève 14.
Département d'ophtalmologie, Hôpital Jules-Gonin, Fondation Asile des aveugles, Université de Lausanne, Avenue de France 15, 1004 Lausanne.
Rev Med Suisse. 2020 Oct 28;16(712):2059-2073.
Uveitis is an inflammation of the eye, resulting from infection or inflammation and is sometimes related to rheumatic and other auto-immune diseases. The condition is classified according to the anatomical site of inflammation: anterior, intermediate, posterior or panuveitis. Uveitis may result in a significant loss of visual acuity, that may however be avoided by controlling the inflammation. Anterior uveitis is the only form that responds to topical therapies (prednisolone acetate and mydriatics). The other forms of inflammatory and non-infectious uveitis often require treatment with systemic corticosteroids, followed by immunosuppressive or biological therapies, which requires close collaboration between the different medical sub-specialties.
葡萄膜炎是一种眼部炎症,由感染或炎症引起,有时与风湿性及其他自身免疫性疾病有关。该病根据炎症的解剖部位进行分类:前部、中间部、后部或全葡萄膜炎。葡萄膜炎可能导致视力严重下降,但通过控制炎症可避免这种情况。前部葡萄膜炎是唯一对局部治疗(醋酸泼尼松龙和散瞳剂)有反应的类型。其他类型的炎症性和非感染性葡萄膜炎通常需要全身使用皮质类固醇进行治疗,随后使用免疫抑制或生物疗法,这需要不同医学亚专业之间密切协作。