Bloch-Michel E, Frau E, Chhor S, Tounsi Y
Unité d'Immunologie Oculaire, CHU de Bicêtre, Faculté de Médecine, Paris-Sud, Le Kremlin-Bicêtre, France.
Int Ophthalmol. 1995;19(3):169-71. doi: 10.1007/BF00133733.
To investigate the frequency and diagnostic significance of Amsler's sign in patients with Fuch's heterochromic cyclitis (FHC), we performed a diagnostic AC puncture of the eyes of 31 patients with this disease and looked for the same sign in 104 patients with intermediate uveitis and 373 patients with various other types of uveitis who underwent the same procedure. AS was significantly more frequent in the FHC patients than in either of the other two groups of patients, and occurred infrequently in all other types of chronic uveitis. We therefore consider its occurrence to have important differential diagnostic value. We would also emphasize the pathophysiologic significance of AS and suggest that this aspect be investigated in the future.
为了研究阿姆斯勒征(Amsler's sign)在富克斯异色性睫状体炎(Fuch's heterochromic cyclitis, FHC)患者中的出现频率及诊断意义,我们对31例患有该病的患者进行了诊断性前房穿刺,并在104例中间葡萄膜炎患者和373例接受相同操作的其他各种类型葡萄膜炎患者中寻找该体征。阿姆斯勒征在FHC患者中的出现频率显著高于其他两组患者,且在所有其他类型的慢性葡萄膜炎中出现频率较低。因此,我们认为其出现具有重要的鉴别诊断价值。我们还将强调阿姆斯勒征的病理生理意义,并建议未来对此方面进行研究。