Spontaneous cataract absorption in patients with leptospiral uveitis
Spontaneous cataract absorption in patients with leptospiral uveitis
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DOI：
10.1136/bjo.84.10.1135
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发表时间：
2000-10-01
影响因子：
4.1
通讯作者：
Cunningham, ET
中科院分区：
文献类型：
--
作者：
Rathinam, SR;Namperumalsamy, P;Cunningham, ET
目的-描述自发性白内障吸收的发生在患者leptospiral葡萄膜炎。方法-血清阳性leptospiral葡萄膜炎患者的记录，在葡萄膜炎诊所在Aravind眼科医院1994年1月至1997年12月之间进行了回顾性reviewed.Results-During 4年的研究，394眼的276例血清阳性leptospiral葡萄膜炎被确定。其中，41名患者（14.9%）的54只眼睛（13.7%）因白内障形成而最终视力为20/40或更差。在这54只眼睛中，41只眼睛（75.9%）在首次到葡萄膜炎诊所就诊时有明显的白内障，13只眼睛（24.1%）在就诊后1-6个月出现白内障。8例（19.5%）患者中有10眼（18.5%）发生自发性吸收，发生时间为发病后6周至18个月，中位时间为5个月。12 035连续，非钩端螺旋体，非创伤性，葡萄膜炎，对照组患者在同一4年的研究，没有自发性白内障absorbtion. Conclusion自发性白内障吸收发生在一个显着数量的钩端螺旋体葡萄膜炎患者，似乎是独特的这种形式的非创伤性葡萄膜炎。
Aims-To describe the occurrence of spontaneous cataract absorption in patients with leptospiral uveitis.Methods-The records of patients with seropositive leptospiral uveitis seen in the uveitis clinic at Aravind Eye Hospital between January 1994 and December 1997 were reviewed retrospectively.Results-During the 4 years of the study, 394 eyes of 276 patients with seropositive leptospiral uveitis were identified. Of these, 54 eyes (13.7%) of 41 patients (14.9%) had a final visual acuity of 20/40 or worse attributable to cataract formation. Of these 54 eyes, 41 eyes (75.9%) had visually significant cataract on their first visit to the uveitis clinic, and 13 eyes (24.1%) were noted to have cataract 1-6 months after presentation. Spontaneous absorption was observed in 10 eyes (18.5%) of eight patients (19.5%), and occurred from 6 weeks to 18 months, with a median of 5 months, after the onset of cataract. Of 12 035 consecutive, non-leptospiral, nontraumatic, uveitic, control patients seen during the same 4 years of the study, none showed spontaneous cataract absorption.Conclusion-Spontaneous cataract absorption occurs in a significant number of patients with leptospiral uveitis, and appears to be unique to this form of non-traumatic uveitis.