中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2015年
5期
270-274
,共5页
红斑狼疮,系统性%视网膜血管炎%毛细血管前小动脉闭塞%视网膜动脉闭塞%视网膜静脉闭塞%视神经疾病%巨细胞病毒视网膜炎
紅斑狼瘡,繫統性%視網膜血管炎%毛細血管前小動脈閉塞%視網膜動脈閉塞%視網膜靜脈閉塞%視神經疾病%巨細胞病毒視網膜炎
홍반랑창,계통성%시망막혈관염%모세혈관전소동맥폐새%시망막동맥폐새%시망막정맥폐새%시신경질병%거세포병독시망막염
Lupus erythematosus,systemic%Retinal vasculitis%Precapillary arteriole occlusion%Retinal artery occlusion%Retinal vein occlusion%Optic nerve diseases%Cytomegalovirus retinitis
目的 探讨系统性红斑狼疮(SLE)患者的眼底病变的临床特点.方法 回顾性系列病例研究.分析2002-2013年在北京协和医院眼科门诊就诊的36例(57眼)经免疫内科确诊为SLE患者的眼底病变情况.其中男4例,女32例;年龄14～71岁,平均(32.6±11.5)岁.常规用裂隙灯显微镜检查前节、散瞳查眼底、眼底照像及FFA.结果 57眼中视网膜血管炎24眼;毛细血管前小动脉闭塞18眼;视网膜大血管阻塞17眼,其中视网膜动脉阻塞10眼,视网膜静脉不全阻塞5眼,视网膜动静脉阻塞2眼;视神经病变6眼,其中视神经乳头炎1眼,球后视神经炎4眼,缺血性视神经病变1眼;巨细胞病毒性视网膜炎3眼.结论 SLE的眼底病变主要表现为视网膜血管炎、毛细血管前小动脉闭塞及视网膜大血管阻塞.
目的 探討繫統性紅斑狼瘡(SLE)患者的眼底病變的臨床特點.方法 迴顧性繫列病例研究.分析2002-2013年在北京協和醫院眼科門診就診的36例(57眼)經免疫內科確診為SLE患者的眼底病變情況.其中男4例,女32例;年齡14～71歲,平均(32.6±11.5)歲.常規用裂隙燈顯微鏡檢查前節、散瞳查眼底、眼底照像及FFA.結果 57眼中視網膜血管炎24眼;毛細血管前小動脈閉塞18眼;視網膜大血管阻塞17眼,其中視網膜動脈阻塞10眼,視網膜靜脈不全阻塞5眼,視網膜動靜脈阻塞2眼;視神經病變6眼,其中視神經乳頭炎1眼,毬後視神經炎4眼,缺血性視神經病變1眼;巨細胞病毒性視網膜炎3眼.結論 SLE的眼底病變主要錶現為視網膜血管炎、毛細血管前小動脈閉塞及視網膜大血管阻塞.
목적 탐토계통성홍반랑창(SLE)환자적안저병변적림상특점.방법 회고성계렬병례연구.분석2002-2013년재북경협화의원안과문진취진적36례(57안)경면역내과학진위SLE환자적안저병변정황.기중남4례,녀32례;년령14～71세,평균(32.6±11.5)세.상규용렬극등현미경검사전절、산동사안저、안저조상급FFA.결과 57안중시망막혈관염24안;모세혈관전소동맥폐새18안;시망막대혈관조새17안,기중시망막동맥조새10안,시망막정맥불전조새5안,시망막동정맥조새2안;시신경병변6안,기중시신경유두염1안,구후시신경염4안,결혈성시신경병변1안;거세포병독성시망막염3안.결론 SLE적안저병변주요표현위시망막혈관염、모세혈관전소동맥폐새급시망막대혈관조새.
Objective To describe the manifestations of ocular fundus secondary to systemic lupus erythematosus (SLE).Methods This was a retrospective study.Thirty-six patients (57 eyes) who were diagnosed with SLE by the Department of Rheumatology in Peking Union Medical College Hospital during the years of 2002-2013 were enrolled in the study.These case studies from the Department of Ophthalmology were summarized.The patients included 4 males and 32 females from 14 to 71 years of age with a mean age of 32.6±11.5 years.Ocular anterior segments were examined with a slit lamp microscope.Fundus examinations were performed with papillary dilation,fundus photography and fundus fluorescein angiography.Results Twenty-four eyes showed retinal vasculitis.Eighteen eyes showed precapillary arteriole occlusion.Seventeen eyes presented with retinal vascular occlusion,10 of presented with retinal artery occlusion,5 presented with retinal vein occlusion,and 2 presented with retinal artery occlusion and vein occlusion.Six eyes presented with optic neuropathy,including 1 eye with neuropapillitis,4 eyes with retrobulbar neuritis,and 1 eye with ischemic optic neuropathy.Three eyes presented with cytomegalovirus retinitis.Conclusion Retinal vasculitis,precapillary arteriole occlusion and retinal vascular occlusion are the most common manifestations of SLE as part of ocular fundus changes.
