Fuchs异色性睫状体炎和眼弓蛔虫病

PURPOSE: To report the association of Fuchs heterochromic cyclitis (FHC) and ocular toxocariasis in a young adult. DESIGN: Observational case report. METHODS: A 26-year old patient was referred for the management of a unilateral intermediate uveitis associated with a lower peripheral subretinal fibrotic lesion near the pars plana. Diagnosis of FHC was clinically confirmed. Laboratory examination was performed to exclude an infectious condition. RESULTS: LISA assay detected significant levels of IgG directed against Toxocara canis. Toxoplasmic serology was negative, excluding this differential diagnosis. Other examinations, including complete blood cell count, urinalysis, serum angiotensin-converting enzyme, lysosyme, chest CT scan, and syphilis serology were noncontributive. CONCLUSIONS: Previous studies have reported on the association of FHC and other parasitic conditions, such as toxoplasmosis but also on herpetic ocular infections. Serologic analysis for toxocariasismay be proposed in patients with FHC and retinal scars in the absence of toxoplasmosis.

重视Fuchs异色性虹膜睫状体炎的研究

Fuchs异色性虹膜睫状体炎(FHI)是一种慢性眼内炎性疾病,易并发白内障及继发性青光眼,因为临床表现不典型,容易造成误诊。该病的发病机制尚不明确,多数学者认为FHI可能是由不同的病因所致的一组有共同临床症状的疾病。本文中笔者着重介绍该病的临床表现、诊断标准以及对并发症治疗方法的新进展。

Fuchs综合征中睫状体炎与白内障关系的临床观察

Fuchs综合征又称异色性睫状体炎(Fuchs heterochromic uveitis, 以下简称FHU),是慢性、无痛性、不明原因的睫状体炎。慢性睫状体炎、虹膜色淡、并发白内障为本病的三大特征。其中慢性睫状体炎是以角膜后沉淀物(以卜简写KP)

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Fuchs综合征白内障病因分析及超声乳化吸出术观察

目的 分析Fuchs综合征患者并发白内障的成因及行白内障超声乳化吸出术的临床疗效.方法 对2011年1月至2013年1月在南昌大学第二附属医院眼科就诊的15例Fuchs综合征并发白内障患者行超声乳化白内障吸出术,观察术中术后并发症及视力恢复情况.结果 术中常见并发症为瞳孔缩小和前房出血;术后并发症有青光眼、前房积血.最好矫正视力0.6以上者占80％（12/15）.Fuchs综合征早期不一定有白内障,而通过手术去除白内障这一因素后,睫状体炎仍然存在.结论 超声乳化白内障吸出联合人工晶状体植入术对Fuchs综合征并发白内障是一种安全而有效地治疗方法.其白内障成因可能与睫状体炎有关.