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慢性前葡萄膜炎时虹膜的血管变化

Vascular changes in the iris in chronic anterior uveitis.

作者信息

Laatikainen L

出版信息

Br J Ophthalmol. 1979 Mar;63(3):145-9. doi: 10.1136/bjo.63.3.145.

Abstract

Vascular changes of the iris were studied in 6 patients with chronic anterior uveitis of varying aetiology by means of fluorescein angiography. In 1 case the angiographic findings of the second eye were compared with the histopathological changes in the fellow eye enucleated earlier because of absolute glaucoma. In the milder cases abnormal superficial vessels were seen mainly in relation to the minor arterial circle of the iris, while in advanced cases a coarse vascular network covered the whole surface of the iris. Both mild and severe changes were found to differ from the arborising type of neovascularisation usually seen in vascular eye diseases. Instead, a resemblance in the vascular pattern was found between some of these cases and eyes with chronic capsular glaucoma. In 1 patient clinical rubeosis seemed to be partly due to dilatation of the pre-existing capillaries rather than true neovascularisation.

摘要

通过荧光素血管造影术,对6例不同病因的慢性前葡萄膜炎患者的虹膜血管变化进行了研究。在1例患者中,将第二只眼的血管造影结果与因绝对青光眼而早期摘除的对侧眼的组织病理学变化进行了比较。在较轻的病例中,异常的浅表血管主要见于虹膜小动脉环附近,而在晚期病例中,粗大的血管网覆盖了整个虹膜表面。发现轻度和重度变化均与通常在血管性眼病中见到的树枝状新生血管形成类型不同。相反,在其中一些病例与慢性囊膜性青光眼患者的眼睛之间发现了血管模式的相似性。在1例患者中,临床虹膜红变似乎部分是由于先前存在的毛细血管扩张,而非真正的新生血管形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9b/1043428/8060e62a0e32/brjopthal00207-0005-a.jpg

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