儿童双眼葡萄膜炎并发白内障的处理  

Management of complicated cataract in children with bilateral uveitis

作　　者：孙中萃[1] 王文吉[1] 卢奕[1] 

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼科,上海200031

出　　处：《中国眼耳鼻喉科杂志》2013年第1期47-49,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：13岁女性,因"双眼视力下降4年,不伴红痛"入院。双眼矫正视力:右眼眼前手动,左眼0.1。裂隙灯检查:双眼角膜带状变性,KP(-),虹膜后粘连,右眼晶状体混浊,表面色素附着,左眼晶状体表面色素纤维膜覆盖,双眼内窥不清。指测眼压:双眼T+1。患儿曾诊断为葡萄膜炎、白内障。两年前左眼白内障摘除并植入人工晶状体,期间未正规治疗葡萄膜炎,现为行右眼白内障手术入院。讨论体会:儿童女性患者双眼前葡萄膜炎应考虑幼年型类风湿关节炎/幼年型特发性关节炎(JRA/JIA)的可能,早期控制原发病、合理治疗并发症是改善视力预后的关键。A 13-year-ohl girl was admitted for a 4-year history of poor vision in both eyes without redness or pain. Best-corn＇ected visual acuity： VOD was hand move befiwe eye and VOS was 2/20. Slit-lamp examination revealed corneal band-shaped degeneration, KP（-）, posterior synechiae of iris in hoth eyes. In the right eye, lens was cloudy with pigment in the anterior capsule, and in the left eye, the pupil was covered by a fibrous membrane. The fundus of both eyes was n^t seen. Both of the intraocular pressure were T ＋ 1 by digital measuring. The girl was once diaguosed elsewhere as ＂uveitis and cataract＂ , and received cataract surgery and intraocular lens implantation in her left eye 2 years ago. During the following 2 years, she was never regularly treated for the uveitis. This time, she came to our hospital for treating the cataract of the right eye. When seeing a female child with OU anterior uveitis, diagnosis of juvenile rheumatoid arthritis/juvenile idiopathic arthi＇itis shouhl be highly suspeeted. The keys for the visual pruguosis are early treatment on uveitis and appropriate treatment on complications.

关 键 词：幼年型类风湿关节炎 幼年型特发性关节炎 葡萄膜炎 并发性白内障 

分 类 号：R773[医药卫生—眼科] R776.1[医药卫生—临床医学]