Wilhelmus K R, Watson P G, Vasavada A R
Trans Ophthalmol Soc U K (1962). 1981 Sep;101 (Pt 3)(3):351-6.
In a clinical series of 350 eyes and a histopathological review of 100 globes, iridocyclitis was associated with scleritis in 42 and 63 per cent and choroiditis in 12 and 62 per cent respectively. Clinical, histological, and experimental evidence suggests that sclero-uveitis begins with a combination of immunological reactions. The host's individual immune response after foreign or self antigenic stimuli determines the presence, type, and extent of the scleral granulomatous inflammation and the uveal vasculitis. The presence of iridocyclitis accompanying scleritis offers presumptive evidence that a vasculitic process has extended to the inner structures of the globe and is an ominous sign of further complications and progressive visual loss.
在一项对350只眼的临床系列研究以及对100个眼球的组织病理学检查中,虹膜睫状体炎分别与42%和63%的巩膜炎以及12%和62%的脉络膜炎相关。临床、组织学和实验证据表明,巩膜葡萄膜炎始于免疫反应的综合作用。外来或自身抗原刺激后宿主的个体免疫反应决定了巩膜肉芽肿性炎症和葡萄膜血管炎的存在、类型及程度。巩膜炎伴发虹膜睫状体炎提示血管炎性病变已蔓延至眼球内部结构,是出现进一步并发症和视力进行性丧失的不祥征兆。