Stübiger Nicole, Farrokhi Sanaz, Gkanatsas Yannik, Deuter Christoph, Kötter Ina
Augenklinik, Universitätsklinikum Eppendorf (UKE), Martinistr. 52, 20251, Hamburg, Deutschland.
Klinik für Rheumatologie und Immunologie, Klinikum Bad Bramstedt, Oskar-Alexander-Str. 26, 24576, Bad Bramstedt, Deutschland.
Ophthalmologie. 2023 Feb;120(2):223-236. doi: 10.1007/s00347-023-01814-8.
The etiology of uveitis greatly varies worldwide, whereby in industrial nations noninfectious causes occur relatively more frequently. In Germany, 44% of all cases of uveitis are due to systemic diseases. In rheumatology, uveitis or other kinds of ocular inflammation, such as scleritis or retinal vasculitis, most commonly occur in spondylarthritis, vasculitis and sarcoidosis. Vice versa, ophthalmologists often ask rheumatologists about an underlying rheumatic disease in patients with uveitis. It is of utmost importance to differentiate between the different forms of uveitis. This review article presents the associations with inflammatory rheumatic diseases as well as treatment options from the point of view of both ophthalmologists and rheumatologists.
葡萄膜炎的病因在全球范围内差异很大，在工业化国家，非感染性病因相对更为常见。在德国，所有葡萄膜炎病例中有44%是由全身性疾病引起的。在风湿病领域，葡萄膜炎或其他类型的眼部炎症，如巩膜炎或视网膜血管炎，最常发生于脊柱关节炎、血管炎和结节病。反之，眼科医生也经常就葡萄膜炎患者潜在的风湿性疾病向风湿病医生咨询。区分不同类型的葡萄膜炎至关重要。这篇综述文章从眼科医生和风湿病医生的角度介绍了与炎性风湿性疾病的关联以及治疗选择。
