Department of Uvea, Sankara Nethralaya, Chennai, India.
Flaum Eye Institute, Rochester, NY, India.
Asia Pac J Ophthalmol (Phila). 2024 Mar-Apr;13(2):100054. doi: 10.1016/j.apjo.2024.100054. Epub 2024 Apr 5.
Masquerade syndromes in uveitis are complex clinical conditions where non-inflammatory diseases mimic uveitic manifestations, often leading to diagnostic and therapeutic challenges. This review delves into the diverse spectrum of masquerade syndromes, categorizing them into neoplastic and non-neoplastic entities. We explore the prevalence of primary intraocular lymphoma, leukaemia, retinoblastoma, and other malignancies, as well as conditions like retinitis pigmentosa and endophthalmitis that can present as uveitis. Through detailed analysis of symptoms, diagnostic methods, and treatment approaches, the review emphasizes the importance of considering masquerade syndromes in differential diagnoses to prevent mismanagement. The synthesis of current knowledge aims to enhance clinicians' ability to discern these complex presentations, advocating for a multidisciplinary approach to diagnosis and care, thereby improving patient outcomes in cases of uveitic masquerade syndromes.
葡萄膜炎的伪装综合征是一种复杂的临床情况,其中非炎症性疾病模拟葡萄膜炎表现,这常常导致诊断和治疗方面的挑战。本文深入探讨了伪装综合征的广泛谱系,将其分为肿瘤性和非肿瘤性实体。我们探讨了原发性眼内淋巴瘤、白血病、视网膜母细胞瘤和其他恶性肿瘤的患病率,以及像色素性视网膜炎和眼内炎等可能表现为葡萄膜炎的疾病。通过对症状、诊断方法和治疗方法的详细分析,本文强调了在鉴别诊断中考虑伪装综合征的重要性,以避免管理不当。对现有知识的综合旨在提高临床医生识别这些复杂表现的能力,倡导采用多学科方法进行诊断和护理,从而改善葡萄膜炎伪装综合征患者的治疗效果。