Bernauer W, Büchi E R, Daicker B
University Eye Hospital, Basel, Switzerland.
Int Ophthalmol. 1994;18(4):229-31. doi: 10.1007/BF00951803.
Posterior scleritis can present with a variety of symptoms, and its clinical diagnosis is therefore difficult. Little is known about the pathogenesis and the cellular effector mechanisms. This case report presents the immunopathological findings of posterior scleritis in the enucleated eye of a 28-year-old female with no known underlying disease. The cells infiltrating the scleral fibers consisted predominantly of T cells. Many of them were CD4 cells. Clusters of T and B cells were found in perivascular areas. No signs of primary vasculitis were seen. The cellular infiltrate in posterior scleritis shows features compatible with a T-cell-mediated (autoimmune) disorder.
后巩膜炎可表现出多种症状，因此其临床诊断较为困难。目前对其发病机制和细胞效应机制了解甚少。本病例报告展示了一名无已知基础疾病的28岁女性摘除眼球中后巩膜炎的免疫病理学发现。浸润巩膜纤维的细胞主要由T细胞组成。其中许多是CD4细胞。在血管周围区域发现了T细胞和B细胞簇。未发现原发性血管炎的迹象。后巩膜炎中的细胞浸润表现出与T细胞介导的（自身免疫性）疾病相符的特征。
