交感性眼炎30例临床分析

目的:了解该病发生的危险因素,为其基础研究方向提供有价值的资料。方法:对30例交感性眼炎进行回顾,分析交感性眼炎发生率、诱因、和损伤部位的关系、临床特点以及治疗的效果。结果:交感性眼炎占同期住院病人的0.72％,该病多发生于伤口位于角巩膜缘的眼球穿通伤,也见于内眼手术后、挫伤、肿瘤等情况,表现为全葡萄膜炎的占了63.3％。女性发病率高于男性。结论:交感性眼炎的发生和眼球正常结构的破坏有关并具有一定的组织特异性,交感性眼炎的发生率、该病与遗传的关系以及色素蛋白抗原与交感性眼炎的关系值得进一步深入研究。眼科学报1996;12:191～192。

A Clinical Analysis of 30 Cases of Sympathetic Ophthalmia

Purpose:To study the clinical characteristics of 30 patients with sympathetic ophthalmia in order to find out the valuable clues for future investigation. Methods:The incidence, cause, location of injury, and prognosis of the 30 patients were analyzed retrospectively Results:Patients with sympathetic ophthalmia occupied 0.72% of the in- patients with eye tranma in our hospital between 1982 and 1997. In most cases the disease related with perforating injury at the limbus or the sclera, but in a few cases it may associated with blunt trauma, tumous or even intraocular operation. Diffuse uveitis in sympathizing eye happened in 63.3% of the patients. Conclusion: Development of eympathetic ophthalmia always related to the dameged ocular structure. Association of sympathetic ophthalmia with hereditary background and the melanin - protein may be worthy of study in future. Eye Science 1996; 12 : 191 - 192.