葡萄膜炎的临床分析

Clinical analysis of the uveitis

目的探讨葡萄膜炎的临床类型、病因和目前临床治疗方法。方法收集2008年2月至2011年11月我院眼科治疗门诊及病房收集的各类葡萄膜炎病例166例(236只眼),对其临床资料进行回顾性分析。结果在166例葡萄膜炎患者中,前葡萄膜炎90例,占54.22%;中间葡萄膜炎15例,占9.04%;后葡萄膜炎10例,占6.02%;全葡萄膜炎51例,占30.72%。能够确定病因99例,占59.64%,其余为特发性患者67例,占40.36%。出现并发症及合并症的有105例(63.25%)。采用糖皮质激素、散瞳、非甾体类消炎药及免疫抑制剂等综合治疗方案,积极治疗其并发症和合并症,患者治疗后视力明显提高。结论由于葡萄膜炎病因复杂,病程长,易复发,易致盲,易出现并发症,目前治疗仍较困难,视力康复不容乐观,若诊治及时葡萄膜炎所致的盲和低视力大多可防可治。

Objective To analyse the clinical classification, etiologies and the present therapeutic method of uvei- tis. Methods Collect ophthalmology treatment of uveitis 166 cases （236 eyes ） from February 2008 to November 2011, then make a retrospective analysis for their clinical data. Results In total number of 166 patients, Anterior uveitis were 90 cases accounting for 54.22% of all the patients, Intermediate uveitis（ 15 cases,9.04% ）, Posterior uveitis （ 10 casess6. 02% ）, and Panuveitis （51 caes,30.72% ）. As the etiological factor, Anterior were found in 99 patients accounting for 57.91% of all the patients, and the other 67 patients were idiopathic ones and complications were 105 cases（ 63.25% ）. By use of glucocorticoids to expand pupil, non-steroidal anti-inflammatory drugs, and immunosuppressant treatment as a comprehensive treatment to make a active treatment for complication, the visual acuity of patients was significantly im- proved. Conclusion Treatment of uveitis is still difficult and the visual rehabilitation is not optimistic at present because of its complicated etiology, long duration, easy replase, esay blindness, esay complication, but the majority of blindness and low vision caused by uveitis can be prevented and treated if given a timely diagnosis and treatment.