儿童疑似寄生虫引起的肉芽肿性前葡萄膜炎的后节受累。
Posterior Segment Involvement in Childhood Presumed Trematode Induced Granulomatous Anterior Uveitis.
机构信息
Opthalmology Department, Mansoura University, Mansoura, Egypt.
出版信息
Ocul Immunol Inflamm. 2023 Sep;31(7):1513-1518. doi: 10.1080/09273948.2022.2113806. Epub 2022 Aug 31.
PURPOSE
To outline posterior segment characteristics of presumed-trematode induced granulomatous uveitis.
DESIGN
A cross-sectional case series.
METHODS
The study included 56 patients (60 eyes) presented with anterior chamber (AC) granulomas. Involvement of the posterior segment structures has been documented and reported.
RESULTS
The mean age of the patients was 11.8 years (range 6-14 years). Posterior segment findings were vitritis in 9 eyes (15%), optic disc granuloma in 2 eyes (3.3%), optic disc hyperaemia in one eye (1.7%), macular oedema in 2 eyes (3.3%), epiretinal membrane in 3 eyes (5%), retinal vasculitis in one eye, a peripheral focus of retinitis in one eye (1.7%), and choroid thickening in 10 eyes (6.7%), with localised choroidal granuloma in one eye (1.7%).
CONCLUSION
Presumed trematode-induced anterior chamber (AC) granuloma is not only restricted to the anterior segment of the eye, but posterior segment associations that may threaten vision should also be considered.
目的
概述疑似寄生虫引起的肉芽肿性葡萄膜炎的后段特征。
设计
横断面病例系列研究。
方法
本研究纳入了 56 名（60 只眼）表现为前房（AC）肉芽肿的患者。已记录并报告了后段结构的受累情况。
结果
患者的平均年龄为 11.8 岁（范围 6-14 岁）。9 只眼（15%）存在玻璃体炎症，2 只眼（3.3%）存在视盘肉芽肿，1 只眼（1.7%）存在视盘充血，2 只眼（3.3%）存在黄斑水肿，3 只眼（5%）存在视网膜前膜，1 只眼（1.7%）存在视网膜血管炎，1 只眼（1.7%）存在周边性视网膜炎症灶，10 只眼（6.7%）存在脉络膜增厚，1 只眼（1.7%）存在局限性脉络膜肉芽肿。
结论
疑似寄生虫引起的前房（AC）肉芽肿不仅局限于眼球前段，还应考虑可能威胁视力的后段相关性病变。
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