Karma A
Department of Ophthalmology, University of Helsinki, Finland.
Sarcoidosis. 1994 Mar;11(1):58-60.
Ocular manifestations are seen in at least one-fifth of sarcoidosis patients. Characteristic biomicroscopic and photographic features raise the suspicion of ocular sarcoidosis. Systemic sarcoid associations and compatible laboratory findings, together with the result of an eventual conjunctival biopsy further support the diagnosis. The diagnosis of chronic ocular sarcoidosis is difficult if other systemic symptoms and signs have been resolved. In these cases taking a careful history and searching for conjunctival granulomatosis and residues of intraocular granulomas are important.
至少五分之一的结节病患者会出现眼部表现。特征性的生物显微镜和影像学特征会引发对眼部结节病的怀疑。系统性结节病关联和相符的实验室检查结果,以及最终结膜活检的结果进一步支持诊断。如果其他全身症状和体征已消退,慢性眼部结节病的诊断就很困难。在这些情况下,仔细询问病史并寻找结膜肉芽肿和眼内肉芽肿的残留情况很重要。