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1、uvealdiseaseAnatomyofuveitisirisCiliarybodyChoroid.TheconceptofuveitisuveitisTheretinaRetinalbloodvesselsvitreousInflammation(endophthalmitis)ThepathogenesisofuveitisInfectionmechanismAutoimmunemechanismOxidativedamagemechanismImmunegeneticmechanismThecauseofuveitisinfectiousBacteri
2、avirusesFungihelixparasiteThecauseofuveitisNon-infectious:relatedtotheabnormalimmuneDaniel:surgery,thermaldamageMechanicaldamageChemistry:acid,alkali,anddrugsAllergicreaction:antigentotheoutsideworldexogenousAccordingtothepathologicalmorphologicalclassification:granulomatousnon-gran
3、ulomatousTheclassificationofuveitisTheclassificationofuveitisAccordingtotheanatomicalsiteclassification:anterioruveitisintermediateuveitisposterioruveitisPanuveitisanterioruveitisSymptomsAcute:subacuteonsetofphotophobia,redness,painandblurredvision;usuallyunilateralChronic:symptomsm
4、ayinitiallybeabsentormildsignsConjunctival:ciliaryhyperemiaormixedhyperemiaAqueousflarecndcellsAnteriorchamber,:empyema,hemorrhageandflocculentfibersKP:keraticpreciptatesize,shape,color,quantityanddistributionIris:edema,adhesion,nodules,contraction,ofpeng,newbloodvesselsPupil:narrow
5、,atresia,membraneclosedCrystal:pigmentvitreous:turbidityanterioruveitisIries-lensadhesionsCornealcalciumdepositionCataractGlaucomaAblind,softandshrunkenglobeintheendstagechronicuveitiscomplicationsdiagnosisMedicalhistorySymptomsSignslaboratoryexaminationThedifferentialdiagnosisAcute
6、conjunctivitisAcuteangle-closureglaucomaIntraoculartumorPanuveitisssss治疗TopicalsteroidsandmydriaticsarethemainstayoftreatmentPeriocularsteroidinjectionSystemicsteroids,immunosuppressiveagentsandantibioticsforinfectionss中间葡萄膜炎症状发病隐袭眼前黑影飘动视物模糊视力减退体征眼前段炎症轻玻璃体雪球样混浊睫状体平坦部雪堤样渗出周边视网膜炎、血管周围
7、炎并发症并发性白内障黄斑病变视网膜、视神经萎缩诊断飞蚊症后囊下混浊黄斑囊样水肿造影治疗视力>0.5观察视力<0.5激素免疫抑制剂冷冻激光玻切后葡萄膜炎症状眼前黑影飘动闪光感、视物变形暗点、视力减退后葡萄膜炎体征玻璃体混浊眼底病灶局限性播散性弥漫性不同病期有不同表现不同组织损伤有不同表现后葡萄膜炎并发症黄斑区视网膜前膜视神经炎黄斑区及视乳头水肿视网膜下新生血管形成视网膜脱离视网膜劈裂玻璃体萎缩眼球萎缩视神经萎缩治疗睫状肌麻疲剂糖皮质激素眼周注射口服制剂非甾体消炎药免疫抑制剂Vogt-小柳-原田综合征(062926)一种累及全身多器官系统包括:眼耳皮肤脑膜的炎症性
8、疾病临床表现前驱期(持续数天)突然发病