内因性葡萄膜炎354例临床分析

Analysis of 354 cases of endogenous uveitis

目的 探讨内因性葡萄膜炎的临床分布特点。方法 6 a间连续收集各类急性或复发性葡萄膜炎病人 35 4例 ,行详尽的临床检查和血清免疫学检查。结果 在 35 4例葡萄膜炎病人中 ,前葡萄膜炎 16 5例 (4 6 .6 % ) ,后葡萄膜炎 118例 (33.3% ) ,全葡萄膜炎 5 7例(16 .1% ) ,周边部葡萄膜炎 14例 (4 .0 % )。致盲率为 5 .9% ,致盲原因是增殖性视网膜病变、继发性青光眼和并发性白内障等。与全身病有关联者 16 7例 (4 7.2 % ) ,主要为骨关节病变、VKH综合征、Behcet综合征、弓形虫感染等。结论 健全和完善特异性实验室检查后 。

Objective To explore the clinical characters and distributions of the endogenous uveitis.Methods Both clinical examinations and immunologic investigations were performed in 354 patients with cases of uveitis within six years.Results Among 354 uveitis, the anterior uveitis were 165 cases(46.6%), the posterior uveitis 118 cases (33.3%),the pan uveitis 57 cases(16.1%) and the intermediate uveitis 14 cases(4.0%). The blind rate among the patients was 5.9%, the main causes were proliferative retinopathy, secondary glaucoma and complicated cataract. 167 cases(47.2%)of patients were related to the systemic changes, the bone joints disease, Vogt Koyanagi Harada syndrome, Behcet syndrome and toxoplasma infection were common.Conclusion Complete clinical and immunologic examinations can ensure the defined diagnosis and proper treatment for the patients with endogenous uveitis.