试论单眼特殊病史的双眼葡萄膜炎

Discussion of Biocular Uveitis with Special History of One Eye

交感性眼炎的临床表现缺乏特异性。因此 ,在做出“交感性眼炎”的诊断之前应当进行鉴别诊断 ,排除其它原因 (非诱发眼性原因 )引起的双眼葡萄膜炎。另外 ,交感性眼炎的病理特征特异性不够。因为有明确报告证明某些非交感性眼炎 (如原田 -小柳氏病 )亦可出现交感性眼炎的病理改变 ,而临床上诊断的交感性眼炎符合率仅为 2 5 %～ 80 %。我们认为 ,在证据不足的情况下勉强做出“交感性眼炎”之诊断不如先诊断为双眼葡萄膜炎 (某眼穿孔伤史 ) ,依此类推。

The clinical manifestations of sympathetic ophthalmia (SO) are lack of specificity. The differential diagnosis of this disease should be made to expel the other factors that to cause the biocular uveitis(BU) before the diagnosis of SO is obtained. Even though the single eye was injuried with perforation might cause the BU due to other reasons. The diagnosis is make according to patient history might lead misdiagnosis and without the specificity of SO. The coincidence rate of SO diagnosis in clinic is 25~80% according to some reports claimed that there were some non SO had similar manifestations with the SO. It is uncertain that removed injury eye could not represent the opposite eye. So diagnosis of BU should be made for similar with SO.