Department of Internal Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.
Department of Ophthalmology, Washington University in St. Louis, St. Louis, MO, USA.
Inflamm Bowel Dis. 2021 Oct 20;27(11):1832-1838. doi: 10.1093/ibd/izaa359.
Inflammatory bowel disease (IBD) is characterized by intestinal inflammation; however, it is also known to have extraintestinal manifestations. Ocular manifestations of IBD include keratopathy, episcleritis, scleritis, and uveitis and are among the most common extraintestinal manifestations. These diseases can lead to significant ocular morbidity if unrecognized and left untreated. A review of the literature was performed on PubMed and is summarized and critically appraised in this article with the aim being to describe the varying ocular manifestations of IBD and outlining their treatments. Ultimately, a framework is provided to investigate ocular symptoms in patients with IBD. An ocular review of systems is also provided as a tool to equip gastroenterologists and internal medicine physicians to be able to recognize and triage ocular complaints appropriately.
炎症性肠病（IBD）的特征为肠道炎症；然而，它也有肠道外表现。IBD 的眼部表现包括角膜病、表层巩膜炎、巩膜炎和葡萄膜炎，是最常见的肠道外表现之一。如果这些疾病未被识别和治疗，可能会导致严重的眼部发病率。本文对 PubMed 上的文献进行了综述，并对其进行了总结和批判性评估，旨在描述 IBD 的各种眼部表现，并概述其治疗方法。最终，提供了一个框架来调查 IBD 患者的眼部症状。还提供了眼部系统回顾作为一种工具，使胃肠病学家和内科医生能够识别和适当分诊眼部投诉。
