Fearnley I R, Rosenthal A R
Department of Ophthalmology, University of Leicester, England.
Acta Ophthalmol Scand. 1995 Apr;73(2):166-70. doi: 10.1111/j.1600-0420.1995.tb00661.x.
Fuchs' heterochromic iridocyclitis is an unusual form of uveitis of unknown aetiology that continues to be poorly understood and underdiagnosed. We present the clinical features observed in 77 patients (89 eyes) seen in the Uveitis Clinic at Leicester Royal Infirmary over a 2-year period. The most common presenting symptom was visual deterioration (96.1%) rather than pain (18.2%). Only 50.6% were diagnosed as Fuchs' heterochromic iridocyclitis at presentation. At review, clinical heterochromic iridum was observed in 70.1% and 15.6% were bilateral. Lens opacities were seen in 73.0%, 40.4% (of the total) having undergone cataract surgery. Glaucoma was diagnosed in 15.7% at presentation and in 21.3% at review, by which time 9.0% (of the total) had required filtration surgery. It is important that Fuchs' heterochromic iridocyclitis is diagnosed correctly since, although many patients do not require active treatment, all should be screened at regular intervals for glaucoma.
富克斯异色性虹膜睫状体炎是一种病因不明的罕见葡萄膜炎形式，目前人们对其了解仍然有限，诊断不足。我们介绍了在莱斯特皇家医院葡萄膜炎诊所两年期间诊治的77例患者（89只眼）的临床特征。最常见的症状是视力下降（96.1%）而非疼痛（18.2%）。初诊时仅50.6%被诊断为富克斯异色性虹膜睫状体炎。复查时，70.1%观察到临床异色虹膜，15.6%为双侧患病。73.0%可见晶状体混浊，其中40.4%（占总数）接受了白内障手术。初诊时15.7%被诊断为青光眼，复查时为21.3%，此时9.0%（占总数）需要进行滤过手术。正确诊断富克斯异色性虹膜睫状体炎很重要，因为尽管许多患者不需要积极治疗，但所有患者都应定期筛查青光眼。
