摘要
病毒性前葡萄膜炎是临床最常见的葡萄膜炎之一,是重要的致盲性疾病。其病因复杂、机制不清,临床表现多样化,易与其他类型葡萄膜炎混淆,较难及时进行病因诊断;治疗上,由于较难针对病因治疗,常常存在不规范治疗,导致病情迁延反复。本文就疱疹病毒性、巨细胞病毒性及风疹病毒性前葡萄膜炎的临床表现、诊断及治疗进展进行综述,比较了巨细胞病毒、风疹病毒性前葡萄膜炎与疱疹病毒性前葡萄膜炎的临床特点,归纳了病毒性前葡萄膜炎的诊疗思路。
Viral anterior uveitis, remains the predominant type of uveitis, which is a major cause of visual impairment throughout the world. With complicated etiology, unclear pathogenesis and wide spectrum of manifestation, viral anterior uveitis may initially be misdiagnosed. It' s a great challenge to differentiate viral anterior uveitis from other forms of uveitis accurately and timely. It could be aggravated or recurrent without appropriate treatment. This review presents the clinical features, the newer diagnostic modalities and the treatment strategy of viral anterior uveitis, including herpetic simple virus, varicella zoster virus, cyto- megalovirus and rubella virus. The clinical manifestations of the different viral anterior uveitis are compared. The molecular techniques for diagnosis and the treatment strategy are highlighted.
出处
《国际眼科纵览》
2013年第5期340-345,共6页
International Review of Ophthalmology