Lepvrier-Guibal N, Tiret A, Prieur A M, Leira I, Dufier J L
Service d'Ophtalmologie, Hôpital Necker-Enfants Malades.
J Fr Ophtalmol. 1994;17(8-9):489-95.
The authors report the follow-up of thirty patients and 49 eyes, with uveitis associated to juvenile chronic arthritis. Clinical characteristics and risk factors of uveitis are: female gender (90%), bilateral involvement (63%), chronicity (91%), relapses (94%), oligoarticular arthritis (73%), antinuclear antibodies (83%). The intraocular inflammation was most frequently asymptomatic. It is extremely important to screen the patients systematically at regular intervals in order to early diagnose the uveitis to improve the visual prognosis. Risk factors for significant visual loss are still cataract (26.5%) and secondary glaucoma (10%). The most devastating complication is secondary glaucoma.
作者报告了30例患者共49只眼睛与青少年慢性关节炎相关的葡萄膜炎的随访情况。葡萄膜炎的临床特征和危险因素为:女性(90%)、双侧受累(63%)、慢性病程(91%)、复发(94%)、少关节性关节炎(73%)、抗核抗体(83%)。眼内炎症最常见的是无症状的。定期对患者进行系统筛查以早期诊断葡萄膜炎从而改善视力预后极为重要。导致严重视力丧失的危险因素仍然是白内障(26.5%)和继发性青光眼(10%)。最具破坏性的并发症是继发性青光眼。