眼科 ›› 2012, Vol. 21 ›› Issue (4): 228-232.

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伴有高眼压的前葡萄膜炎诊治中的一些问题

王红  沈琳   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科学与视觉科学重点实验室
  • 收稿日期:2012-05-31 出版日期:2012-07-25 发布日期:2012-07-27
  • 通讯作者: 王红,Email:wanghongyk@sina.com
  • 基金资助:

    北京市自然科学基金(7122042)

Several issues for the diagnosis and treatment of anterior uveitis with increased intraocular pressure

WANG Hong, SHEN Lin.   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Sciences Key Lab., Beijing 100730, China
  • Received:2012-05-31 Online:2012-07-25 Published:2012-07-27
  • Contact: WANG Hong, Email: wanghongyk@sina.com

摘要: 【摘要】 某些缺乏严重纤维素性渗出及虹膜后粘连的前葡萄膜炎如病毒性前葡萄膜炎、Fuchs综合征、青光眼睫状体炎综合征等均可表现为持续性或反复性眼压升高,对其治疗常较棘手。最近,新加坡学者对巨细胞病毒性前葡萄膜炎进行了系统分析,对伴有眼压升高的前葡萄膜炎患者提出了新的诊治思路。虽然Fuchs综合征、青光眼睫状体炎综合征与巨细胞病毒性前葡萄膜炎有类似表现,且后两者的发病机制中均有提到巨细胞病毒,但针对后两者的治疗目前仍以对症治疗为主,是否需加入抗病毒治疗,仍需长期的实践探讨。(眼科,2012,21:228-233)

关键词: 病毒性前葡萄膜炎, Fuchs综合征, 青光眼睫状体炎综合征, 眼压

Abstract: 【Abstract】 Some anterior uveitis lack of severe fibrinous exudation and posterior synechiae of iris, such as viral anterior uveitis, Fuchs syndrome and Posner-Schlossman syndrome, can be manifested as persistent or recurrent elevated intraocular pressure, and its treatment is often difficult. Recently, Singapore scholars described clinical features of cytomegalovirus anterior uveitis in immuocompetent patients, and presented a new idea to diagnosis and treatment of the anterior uveitis with ocular hypertension. Though Fuchs syndrome and Posner-Schlossman syndrome have similar clinical manifestations to cytomegalovirus anterior uveitis, and cytomegalovirus infection may be the pathogenesis of the two diseases, whether to join the antiviral therapy for the Fuchs syndrome, Posner-Schlossman syndrome or not, is still a problem worthy of discussion. (Ophthalmol CHN, 2012, 21: 228-233)

Key words: viral anterior uveitis, Fuchs syndrome, Posner-Schlossman syndrome, intraocular pressure