中间葡萄膜炎的超声生物显微镜检查

目的 探讨中间葡萄膜炎超声生物显微镜（ultrasound biomicroscopy,UBM)的图像特征及其应用价值。方法 采用UBM对21例（35只眼）经临床眼科及双目间接检眼镜结合巩膜压迫法检查确诊为中间葡萄膜炎患者行睫状体平坦部、周边部视网膜及玻璃体检查,并对其图像进行分析。结果 31只眼（88．6％）可见病理改变,4只眼（11．4％）未见异常。UBM图像主要表现：周边部玻璃体呈点状混浊、团块状混浊、膜样混虫及睫状体平坦部玻璃体视网膜粘连牵拉征象和睫状体脱离。结论 UBM在中间葡萄膜炎诊断中有临床应用价值。

Ultrasound biomicroscopy in intermediate uveitis

Objective To investigate the character of intermediate uveitis by ultrasound biomicroseopy (UBM) and determine the potential and usefulness of UBM as a diagnostic procedure in intermediate uveitis. Methods Twenty one cases (35eyes) of intermediate uveitis were diagnosed by slit lamp biomicroscopy and indirect binocular ophthalmoscopy with scleral indentation. UBM was performed on 35 eyes of 21 patients with intermediate uveitis in order to determine the configuration of pars, plana peripheral retina and vitreous. Results In 31 of 35 eyes, pathological structures such as spotted or membraneous vitreous condensations, vitreoretinal adhesions with traction on the peripheral retina and ciliary body detachment were identified by UBM. In four eyes, no abnormalities were identified by UBM. Conclusion UBM seems to be a valuable diagnostic technique for the evaluation of patients with intermediate uveitis.