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非特异性眼眶炎症标准化诊断和治疗指南(2024年)

Guidelines for the standardized diagnosis and treatment of non-specific orbital inflammation (2024).

作者信息

Shao Yi, Ma Jian-Min, Yang Hua-Sheng

机构信息

Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Eye Diseases, Shanghai 200080, China.

Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing 100005, China.

出版信息

Int J Ophthalmol. 2024 Dec 18;17(12):2203-2213. doi: 10.18240/ijo.2024.12.07. eCollection 2024.

Abstract

Non-specific orbital inflammation (NSOI) is a non-infectious orbital inflammation. Although it is often considered the most common diagnosis in orbital biopsies, it is an exclusionary diagnosis that requires ruling out systemic disease or other possible causes. Its characteristics include acute orbital signs and symptoms, including pain, proptosis, periorbital edema, chemosis, diplopia, and visual impairment. The clinical manifestations and histological findings of NSOI are heterogeneous, without specific diagnostic criteria or treatment guidelines, which poses significant challenges for diagnosis and treatment. This guideline provides a detailed description of the definition, classification, diagnosis, and treatment of NSOI.

摘要

非特异性眼眶炎症(NSOI)是一种非感染性眼眶炎症。尽管它常被认为是眼眶活检中最常见的诊断,但它是一种排除性诊断,需要排除全身性疾病或其他可能的病因。其特征包括急性眼眶体征和症状,如疼痛、眼球突出、眶周水肿、结膜水肿、复视和视力损害。NSOI的临床表现和组织学表现具有异质性,没有特定的诊断标准或治疗指南,这给诊断和治疗带来了重大挑战。本指南详细描述了NSOI的定义、分类、诊断和治疗。

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