ANTERIOR AND INTERMEDIATE UVEITIS
ANTERIOR AND INTERMEDIATE UVEITIS
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DOI：
10.1097/00004397-199030040-00003
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发表时间：
1990-09-01
影响因子：
--
通讯作者：
NOZIK, RA
中科院分区：
文献类型：
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作者：
PAVESIO, CE;NOZIK, RA
临床上，急性前葡萄膜炎的特征是疼痛、发红和畏光的快速发作。体征包括睫状充血、瞳孔缩小、小的角膜沉淀（KP）和前房中的细胞和闪光。周围前、后粘连均可发生（图1）。由于睫状体的炎症，眼内压通常在发作开始时较低，但后来，随着流出通道的阻塞，眼内压可能会升高。慢性前葡萄膜炎有一个潜在的表现，如在“白色虹膜炎”的幼年类风湿性关节炎（JRA）[1]。外眼没有发炎，也没有疼痛或恐惧症。然而，前房显示重度闪光和大量细胞和细KP。其他表现包括周边前后粘连、带状角膜病变、继发性白内障和青光眼。
Clinically, acute anterior uveitis is characterized by a rapid onset of pain, redness, and photophobia. Signs include ciliary injection, pupillary miosis, small keratic pre-cipitates (KP), and cells and flare in the anterior cham-ber. Both peripheral anterior and posterior synechiae may occur (Fig 1). The intraocular pressure often is low at the beginning of the attack due to inflammation of the ciliary body, but later, with the blockage of the outflow channels, it may become elevated. Chronic anterior uveitis has an insidious presentation, as in the “white iritis” of juvenile rheumatoid arthritis (JRA)[1]. The external eye is not inflamed, and there is no pain or photophobia. Nevertheless, the anterior chamber demonstrates heavy flare and large numbers of cells and fine KP. Other findings include peripheral anterior and posterior synechiae, band keratopathy, sec-ondary cataract, and glaucoma.