Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Ophthalmology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
J Microbiol Immunol Infect. 2022 Aug;55(4):573-580. doi: 10.1016/j.jmii.2022.02.003. Epub 2022 Mar 18.
Uveitis is a sight-threatening disease that can be associated with many different etiologies. Successful treatment of uveitis relies on accurate diagnosis and prompt efficient therapy. History taking, physical and ocular examinations, systemic evaluations, and response to treatment provide crucial information to differentiate possible etiologies involved in the pathophysiology of intraocular inflammation. This article provides recommendations for a step-wise approach to patients with uveitis in Taiwan based on an expert meeting and consensus. Systemic evaluations for uveitis should be performed step-by-step and include investigation of patients' general systemic conditions, ruling out infectious etiologies, and obtaining evidential biomarkers to diagnose a specific disease entity.
葡萄膜炎是一种可导致视力丧失的疾病,可能与多种不同病因有关。葡萄膜炎的成功治疗依赖于准确的诊断和及时有效的治疗。病史采集、体格检查和眼部检查、全身评估以及对治疗的反应提供了区分可能涉及眼内炎症病理生理学的病因的关键信息。本文根据专家会议和共识,为台湾的葡萄膜炎患者提供了一种逐步的治疗建议。葡萄膜炎的全身评估应逐步进行,包括评估患者的一般全身状况、排除感染性病因,并获取诊断特定疾病实体的证据性生物标志物。