[Uveitis: Diagnosis and work-up].
[Uveitis: Diagnosis and work-up].
复制标题
[葡萄膜炎：诊断和检查]。
DOI：
10.1016/j.jfo.2019.03.038
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
A. Brézin
中科院分区：
文献类型：
--
作者：
C. Bonnet;A. Brézin
葡萄膜炎是葡萄膜组织（虹膜、睫状体和脉络膜）的炎症。法国葡萄膜炎的年发病率较低（17/100，000），但视觉和治疗后果可能很严重。因此，病因调查是任何葡萄膜炎管理的基本步骤。历史在初始评价中起着重要作用，它必须是有方法的。眼科检查旨在根据类型（肉芽肿性或非肉芽肿性）、位置（前部、中间或后部）、严重程度、持续时间和复发对葡萄膜炎进行分类。系统性症状通常将诊断导向特定原因。葡萄膜炎的诊断方法依赖于病史、眼科检查和对可能的眼外表现的评估。必须根据临床鉴别诊断规定辅助检测，否则其产量非常低。
Uveitis is an inflammation of the uveal tissue: iris, ciliary body and choroid. The annual incidence of uveitis in France is low (17/100,000), but visual and therapeutic consequences may be severe. Etiologic investigation is thus a fundamental step in the management of any uveitis. The history plays an important role in the initial evaluation; it must be methodic. The ophthalmologic examination seeks to classify the uveitis by type (granulomatous or not), location (anterior, intermediate or posterior), severity, duration and recurrence. Systemic signs often orient the diagnosis toward a specific cause. The diagnostic approach to uveitis relies on the history, ophthalmologic examination and evaluation of possible extraocular manifestations. Ancillary testing must be prescribed based on the clinical differential diagnosis, without which their yield is very low.