Fong D S, Raizman M B
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114.
Br J Ophthalmol. 1993 Oct;77(10):635-8. doi: 10.1136/bjo.77.10.635.
Few reports have described hyphema in association with anterior uveitis. Five cases of anterior chamber haemorrhage are reported in patients with five different anterior uveitic entities: Reiter's syndrome, juvenile chronic arthritis, ankylosing spondylitis, idiopathic anterior uveitis, and herpes simplex. Hyphema has been reported in association with idiopathic non-granulomatous anterior uveitis, but not with the other four entities. In three cases, iris rubeosis was present. In two cases the patients were taking non-steroidal anti-inflammatory agents. The hyphemas occurred at times of heightened inflammation and resolved spontaneously without complication in all but one case, a boy with idiopathic uveitis who required surgery to remove the blood. The clinical outcome of these cases provides evidence that conservative medical management is usually sufficient.
很少有报告描述前房积血与前葡萄膜炎相关。本文报告了5例前房出血患者，他们分别患有5种不同的前葡萄膜炎：赖特综合征、青少年慢性关节炎、强直性脊柱炎、特发性前葡萄膜炎和单纯疱疹。有报道称前房积血与特发性非肉芽肿性前葡萄膜炎相关，但与其他4种疾病无关。3例患者出现虹膜红变。2例患者正在服用非甾体类抗炎药。前房积血发生于炎症加剧时，除1例患有特发性葡萄膜炎的男孩需要手术清除血液外，其余均自发消退且无并发症。这些病例的临床结果表明，保守的药物治疗通常就足够了。
