顽固性炎性眼病与风湿病的眼部受累

Refractory inflammatory ocular involvement in rheumatic diseases

炎性眼病是一种顽固性、致盲性眼病。诸多风湿性疾病如脊柱关节炎、白塞病、类风湿关节炎、干燥综合征、复发性多软骨炎、抗中性粒细胞胞浆抗体相关血管炎可以导致眼部损害,而眼的各个部位均可受到风湿病的侵犯。炎性眼病与风湿病的眼部受累有诸多相似之处。以炎性眼病为首发表现或主要表现的风湿病眼病患者易被漏诊。对于反复发作的炎性眼病患者,要关注包括风湿性疾病及感染性疾病在内的全身疾病。基于炎性眼病与风湿病眼病的诸多共同点,应提高对风湿病眼部累及的认识,加强多学科协作诊治。

Inflammatory eye diseases are a group of refractory blinding ocular disorders induced by non-infective and non-neoplastic factors.Eye is also an organ often involved in many rheumatic diseases such as spondyloarthritis,Behcet’s disease,rheumatoid arthritis,primary Sjogren's syndrome,relapsing chondritis,ANCA-related vasculitis and all of parts of eye ball can be involved.There are many similarties between inflammatory ocular diseases and ocular diseases related to rheumatic diseases.Rheumatic diseases-related ocular disease when occured as initial or major symptom is often misleading.Searching actively for etiology of recurrent inflammatory ocular disease should be emphasized thought out all of the body,including rheumatic as well as neoplastic diseases.Based on the common points of inflammatory eye diseases and rheumatic ophthalmopathy,the hope of better outcome would like to be relyed on improving the understanding of rheumatic ophthalmopathy,and strengthen the multidisciplinary cooperation on diagnosis and treatment.