后巩膜炎22例临床分析  

The clinical feature and treatment analysis of 22 cases of patients with posterior scleritis

作　　者：时冀川[1] 郑曰忠[1] 

机构地区：[1]天津市眼科医院,天津300020

出　　处：《中国实用眼科杂志》2009年第5期539-541,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨后巩膜炎的临床表现、荧光素眼底血管造影特征、B型超声扫描检查、CT检查结果、治疗效果及视力预后。方法自2002年8月至2007年7月间，收治的后巩膜炎患者22例22只眼，观察其临床表现、影像学检查结果、实验室检查结果、治疗效果及其预后。结果22例患者中，男性5例，女性17例，平均年龄32．4岁。荧光素眼底血管造影显示静脉早期多发性斑点状荧光素渗漏，后期荧光素进入视网膜下组织；B型超声扫描检查和CT检查均可见巩膜呈弥漫性或结节性增厚及神经增粗。所有患者对糖皮质激素和非甾体抗炎剂治疗敏感，治疗后所有患者眼底病变消失，矫正视力恢复，未见严重并发症和视力下降病例。结论后巩膜炎是一种少见的巩膜炎症，以女性多见，细致的临床检查和影像学检查可减少漏诊或误诊，及时有效地治疗可以控制病情发展。Objective To explore the clinical characteristics,fundus fluorescent angiography（FFA） features, B-scan ultrasonography, CT characteristics, the effects of treatmet and the visual prognosis of posterior scleritis. Methods The clinical data of 22 patients （22 eyes）with posterior scleritis were collected and exam- ined in our hospital from February 2002 to July 2007. The clinical characteristics, imaging features, results of laboratory examination, effect of treatment and the visual prognosis of the patients with posterior scleritis were observed. Results Among the 22 eyes of the 22 patients with posterior scleritis,there were 5 males and 17 females, the average age was 32.4 years old.FFA examination showed the multiple pinpoint leakages at the early venous phase and the fluorescence leakage into the subretinal tissue at late phase of theangiography. B-scan ultrasonography and CT scan showed the diffuse or nodules scleral thickenin gand optic nerve became coarse.All the patients responded well with oral corticosteroids and non-steroid anti-inflammatory agents. All the patients were recovery after the intensive treatment.The severe complications and decreased visual acuity of the cases were not seen. Conclusions Posterior scleritis was a rare type ofscleral inflammation.The females were common involved. The careful clinical examinations and imaging examinations could reduce the rates ofmisdiagnosis.Earlier corrected diagnosis and treatment properly could prevent the disease from progressive.

关 键 词：后巩膜炎 巩膜炎 渗出性视网膜脱离 

分 类 号：R772.33[医药卫生—眼科] R774.1[医药卫生—临床医学]