Panova I E, Melikhova M V, Samkovich E V, Varnavskaya N G
Saint Petersburg brunch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery», Saint Petersburg, Russia.
Chelyabinsk Regional Clinical Tuberculosis Dispensary, Chelyabinsk, Russia.
Vestn Oftalmol. 2020;136(6. Vyp. 2):219-226. doi: 10.17116/oftalma2020136062219.
Granulomatous lesion of the iris has varying etiology, but in the differential diagnostic it should often be considered by sarcoidosis and tuberculosis damage.
To describe a clinical case of sarcoid lesion of the iris and provide an analysis of literature devoted to this problem in the context of its polyetiology.
The article describes one case of sarcoid granuloma of the iris in a young patient with a relapsing course of the disease.
The presented clinical case demonstrates the need for differential diagnosis to clarify the causes of the disease and the possibility of recurrence involving appearance of a multifocal lesion. The article also reviews literature on this problem reflecting the polyetiological nature of granulomatous lesions of the iris, and argues the use of interventional diagnostic methods in the absence of extraocular pathology.
Analysis of the clinical case and literature clearly demonstrates the need for differential diagnosis of granulomatous lesions of the iris.
虹膜肉芽肿性病变病因各异，但在鉴别诊断时，结节病和结核损害常应纳入考虑。
描述一例虹膜结节病病变的临床病例，并结合其多病因情况对有关该问题的文献进行分析。
本文描述了一名患有疾病复发过程的年轻患者的虹膜结节样肉芽肿病例。
所呈现的临床病例表明，需要进行鉴别诊断以明确病因，且存在复发并出现多灶性病变的可能性。本文还回顾了关于该问题的文献，这些文献反映了虹膜肉芽肿性病变的多病因性质，并主张在无眼外病变时采用介入性诊断方法。
对该临床病例和文献的分析清楚地表明，对虹膜肉芽肿性病变进行鉴别诊断是必要的。
