Pawar Yuga B, Thool Archana R
Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Aug 17;16(8):e67078. doi: 10.7759/cureus.67078. eCollection 2024 Aug.
Connective tissue diseases (CTDs), including rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), Sjögren's syndrome, and systemic sclerosis (SSc), represent a diverse group of disorders characterized by abnormalities in the proteins that support tissues and organs. These diseases can affect multiple organ systems and are often associated with significant morbidity and mortality. The eyes are frequently affected among the various organ systems involved, with ocular manifestations ranging from benign conditions such as dry eye syndrome to severe, sight-threatening complications like scleritis, retinal vasculitis, and optic neuritis. Recognizing and managing these ophthalmologic implications is crucial for preventing severe complications, providing diagnostic clues, and improving patients' quality of life. This comprehensive review aims to elucidate the current knowledge and innovations related to the ophthalmologic implications of CTDs. It details the ocular manifestations associated with major CTDs, explores diagnostic approaches to identifying and differentiating these conditions, and discusses management strategies, including pharmacological and surgical interventions. Additionally, the review highlights recent advancements and emerging therapies in diagnosing and treating CTD-related ophthalmologic conditions. The review also addresses this field's challenges and future directions, emphasizing the importance of interdisciplinary collaboration and continuous research. By synthesizing the latest research and clinical insights, this review seeks to enhance the understanding of healthcare professionals regarding the interplay between CTDs and ocular health, ultimately contributing to improved patient care and outcomes.
结缔组织病(CTD),包括类风湿性关节炎(RA)、系统性红斑狼疮(SLE)、干燥综合征和系统性硬化症(SSc),是一组多样的疾病,其特征是支持组织和器官的蛋白质异常。这些疾病可影响多个器官系统,且常伴有显著的发病率和死亡率。在受累的各个器官系统中,眼睛经常受到影响,眼部表现从干眼综合征等良性病症到巩膜炎、视网膜血管炎和视神经炎等严重的、威胁视力的并发症不等。认识并处理这些眼科问题对于预防严重并发症、提供诊断线索以及改善患者生活质量至关重要。这篇综述旨在阐明与结缔组织病眼科问题相关的现有知识和创新。它详细介绍了与主要结缔组织病相关的眼部表现,探讨了识别和区分这些病症的诊断方法,并讨论了管理策略,包括药物和手术干预。此外,该综述强调了在诊断和治疗结缔组织病相关眼科疾病方面的最新进展和新兴疗法。该综述还讨论了该领域的挑战和未来方向,强调了跨学科合作和持续研究的重要性。通过综合最新研究和临床见解,本综述旨在增进医疗保健专业人员对结缔组织病与眼部健康之间相互作用的理解,最终有助于改善患者护理和治疗效果。