Vogt-小柳-原田综合征  

Vogt-Koyanagi-Harada syndrome

作　　者：王文吉[1] 周旻[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2期88-90,95,共4页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：Vogt-小柳-原田综合征(VKH综合征)在我国较常见。本文就其诊断及鉴别诊断的相关内容作一介绍。VKH综合征前驱期症状为发热、头痛、耳鸣、听力减退。急性期为双眼视力急性下降,后部视网膜多个盾形浅脱离与视盘充血、水肿。恢复期为晚霞样眼底与Dallen-Fuch结节(D-F结节)。慢性复发期主要表现为反复发作的肉芽肿性前葡萄膜炎。B超、超声生物显微镜、荧光素眼底血管造影、吲哚青绿血管造影与相干光断层扫描可协助诊断并了解治疗效果。The incidence of Vogt-Koyanagi-Harada syndrome （VKH） is relative common in China. Diagnosis and differential diagnosis are discussed in the article. In its prodromal stage, it appears as fever, headache, tinnitus and hearing loss. Followed by acute bilateral vision loss with multiple placoid retinal detachments in posterior pole and optic disc hyperaemia. In convalescent stage, sunset glow fundus and Dalen-Fuch＇ s nodule~ are characteristically present. Recurrent granulomatous anterior uveitis predominates chronic recurrent stage. B scan, ultrasound biomicroscopy, fluorescein fundus angiography, indocyanine green angiography and optical coherence tomography are all helpful to the diagnosis as well as acknowledge to the response after treatment.

关 键 词：VOGT-小柳-原田综合征 诊断 青光眼 闭角型 急性 后巩膜炎 

分 类 号：R773.9[医药卫生—眼科]