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交感性眼炎中达伦-富克斯结节的形态学变异

Morphological variation of Dalén-Fuchs nodules in sympathetic ophthalmia.

作者信息

Reynard M, Riffenburgh R S, Minckler D S

出版信息

Br J Ophthalmol. 1985 Mar;69(3):197-201. doi: 10.1136/bjo.69.3.197.

DOI:10.1136/bjo.69.3.197
PMID:3978066
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1040562/
Abstract

Fifty cases of sympathetic ophthalmia were examined histologically to determine the incidence and morphology of Dalén-Fuchs nodules. At least one well-defined Dalén-Fuchs nodule was identified in 18 (36%) of the eyes examined. Three types of lesions at the level of the retinal pigment epithelium were recognised. One type was found to consist of focal hyperplasia and aggregation of retinal pigment epithelial cells. A second type, classically referred to as Dalén-Fuchs nodules, consisted of epithelioid cells and lymphocytes covered by an intact dome of retinal pigment epithelium. The third type of lesion was characterised by degeneration of the overlying retinal pigment epithelium leading to disorganisation of the Dalén-Fuchs nodule and possible release of their contents into the subretinal space. Our study demonstrated that Dalén-Fuchs nodules in sympathetic ophthalmia vary in their morphological appearance as determined by light microscopy.

摘要

对50例交感性眼炎患者进行了组织学检查,以确定达伦-富克斯结节的发生率和形态。在所检查的眼睛中,18只(36%)至少发现了一个界限清楚的达伦-富克斯结节。在视网膜色素上皮水平识别出三种类型的病变。一种类型是视网膜色素上皮细胞的局灶性增生和聚集。第二种类型,经典地称为达伦-富克斯结节,由上皮样细胞和淋巴细胞组成,被完整的视网膜色素上皮穹顶覆盖。第三种类型的病变特征是上方视网膜色素上皮变性,导致达伦-富克斯结节结构紊乱,并可能使其内容物释放到视网膜下间隙。我们的研究表明,通过光学显微镜观察,交感性眼炎中的达伦-富克斯结节在形态外观上存在差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/8a135692db60/brjopthal00135-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/7a49bfcf49ab/brjopthal00135-0042-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/404735dfa32d/brjopthal00135-0042-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/320b69051787/brjopthal00135-0042-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/e6b6373fd525/brjopthal00135-0043-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/8a135692db60/brjopthal00135-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/7a49bfcf49ab/brjopthal00135-0042-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/404735dfa32d/brjopthal00135-0042-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/320b69051787/brjopthal00135-0042-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/e6b6373fd525/brjopthal00135-0043-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/1040562/8a135692db60/brjopthal00135-0044-a.jpg

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本文引用的文献

1
Ocular pathology for clinicians. 2. Sympathetic uveitis.临床医生的眼科病理学。2. 交感性葡萄膜炎。
Ophthalmology. 1980 Apr;87(4):355-8.
2
Sympathetic ophthalmia.交感性眼炎
Am J Ophthalmol. 1981 Dec;92(6):816-23. doi: 10.1016/s0002-9394(14)75636-3.
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A case of sympathetic uveitis.交感性眼炎一例。
Indian J Ophthalmol. 2022 Jun;70(6):1931-1944. doi: 10.4103/ijo.IJO_2363_21.
4
Imaging of Classic Dalén Fuchs Nodules in Sympathetic Ophthalmia With Spectral Domain OCT.用光谱域光学相干断层扫描对交感性眼炎中典型的达伦-富克斯结节进行成像。
Cureus. 2022 Jan 2;14(1):e20876. doi: 10.7759/cureus.20876. eCollection 2022 Jan.
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Sympathetic Ophthalmia: Where Do We Currently Stand on Treatment Strategies?交感性眼炎:我们目前在治疗策略方面处于什么状况?
Clin Ophthalmol. 2021 Oct 20;15:4201-4218. doi: 10.2147/OPTH.S289688. eCollection 2021.
6
Commentary: Optical coherence tomography in sympathetic ophthalmia.述评:交感性眼炎中的光学相干断层扫描
Indian J Ophthalmol. 2020 Sep;68(9):2023-2024. doi: 10.4103/ijo.IJO_886_20.
7
Early presentation of sympathetic ophthalmia in optical coherence tomography studies: A case report.光学相干断层扫描研究中交感性眼炎的早期表现:一例报告
Indian J Ophthalmol. 2020 Sep;68(9):2019-2022. doi: 10.4103/ijo.IJO_2184_19.
8
Commentary: Appraisal of histopathological correlations in Vogt-Koyanagi-Harada uveitis.述评:Vogt-小柳-原田葡萄膜炎组织病理学相关性评估
Indian J Ophthalmol. 2019 Jul;67(7):1219-1221. doi: 10.4103/ijo.IJO_409_19.
9
Classical pathology of sympathetic ophthalmia presented in a unique case.交感性眼炎的经典病理学表现在一个独特病例中呈现。
Open Ophthalmol J. 2014 Jun 27;8:32-8. doi: 10.2174/1874364101408010032. eCollection 2014.
10
Gender differences in vogt-koyanagi-harada disease and sympathetic ophthalmia.交感性眼炎与Vogt-小柳原田病的性别差异。
J Ophthalmol. 2014;2014:157803. doi: 10.1155/2014/157803. Epub 2014 Mar 5.
Ann Ophthalmol. 1980 Sep;12(9):1106-8.
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Sympathetic ophthalmia. Histopathologic and fluorescein angiographic correlation.交感性眼炎。组织病理学与荧光素血管造影的相关性。
Arch Ophthalmol. 1984 Feb;102(2):232-5. doi: 10.1001/archopht.1984.01040030182022.
5
Human sympathetic ophthalmia. An analysis of the inflammatory infiltrate by hybridoma-monoclonal antibodies, immunochemistry, and correlative electron microscopy.人类交感性眼炎。通过杂交瘤单克隆抗体、免疫化学及相关电子显微镜对炎性浸润进行的分析。
Ophthalmology. 1983 Jan;90(1):76-95. doi: 10.1016/s0161-6420(83)34602-9.
6
[Fluorescein angiographic picture of sympathetic ophthalmia (author's transl)].交感性眼炎的荧光素血管造影图片(作者译)
Klin Monbl Augenheilkd. 1976 Aug;169(2):195-200.
7
Sympathetic uveitis after trauma and vitrectomy.外伤及玻璃体切除术后的交感性眼炎。
Arch Ophthalmol. 1978 Feb;96(2):263-7. doi: 10.1001/archopht.1978.03910050131005.