后巩膜炎的临床表现与诊断治疗的研究进展  

Research progress in posterior scleritis

作　　者：于金国[1] YU Jinguo(Department of Ophthalmology,Tianjin Medical University General Hospital,Tianjin 300070,China)

机构地区：[1]天津医科大学总医院眼科,天津300052

出　　处：《医药前沿》2022年第13期21-23,共3页Journal of Frontiers of Medicine

摘　　要：后巩膜炎是发生于眼球赤道后部巩膜及视神经周围巩膜的一种肉芽肿性炎症,可引起后部眼球结构破坏,具有潜在可致盲性。后巩膜炎临床较为少见,多为单眼发病,眼前段一般无明显改变,且其临床表现多种多样,缺乏特异性,诊断较为困难,极易被临床医生漏诊或误诊。本文就病因学、临床表现、病理学、辅助检查、诊断及鉴别诊断等方面对后巩膜炎进行综述,以期最大程度地避免漏诊和误诊,使患者得到及时、正确、有效的治疗。Posterior scleritis is a granulomatous inflammation that occurs in the posterior sclera of the equator of the eyeball and around the optic nerve.It can cause the destruction of the posterior eye structure,and it is potential to cause blindness.This disease is rare in clinic,most of which are monocular diseases.The anterior segment of the eye has no obvious change,but its clinical manifestations are various and lack specificity,so it is difficult to diagnose.Therefore,it is very easy to be missed diagnosis or misdiagnosed by clinicians.In this paper,the etiology,pathology,diagnosis and differential diagnosis are reviewed to help us to learn this disease,avoid missed diagnosis and misdiagnosis,and get timely,correct and effective treatment to the greatest extent.

关 键 词：综述 后巩膜炎 诊断 鉴别诊断 并发症 

分 类 号：R772.3[医药卫生—眼科]