老年人内源性葡萄膜炎

ENDOGENOUS UVEITIS IN SENIOR PATIENTS

本文对47例老年人(年龄≥60岁)内源性葡萄膜炎进行临床分析,发现:发病年龄越大所占比例越少,男稍多于女(1.2:1),前葡萄膜炎最多,28例(59.57%),全葡萄膜炎次之,18例(38.30%),后葡萄膜炎少见,仅1例(2.13%),未发现中间葡萄膜炎。非肉芽肿型(34例)明显多于肉芽肿型(13例).主要并发症为继发性青光眼(22例),并发性白内障(16例)。免疫学检查发现患者有免疫调节不平衡现象,多伴有与免疫有关的全身性疾病.治愈率为40.58%,无效及恶化率为17.39%。治疗后矫正视力低于0.3者达62.32%,因此应引起重视及进—步研究.

Forty-seven cases of endogenous uveitis aged 60 and above were analyzed in the retrospective study. The result shows males are more than females (1. 2:1). Among the 47 cases, 28 cases (59. 57%) are anterior uveitis, 18 cases (38. 30%) are panuveitis. Only 1 case (2.13%) is posterior uveitis. Immediated-type uveitis is not found. Besides, 34 cases are non-granulomatosous type, more than the cases with granulomatosous type (13 cases). The major complications are secondary glaucoma (22 cases) and complicated cataract (16 cases). Immunological tests to the patients showed the unbalance of immune-regulation was mostly complicated by immune-related sickness. The cure rate was 40. 58%. The invalid and deteriorative rate was 17. 39%. 62. 32% of the patients had the vision acuity lower than 0. 3 after the treatment.