■Fuchs异色虹膜睫状体炎是一种慢性,以虹膜异色症为特征的单侧虹膜睫状体炎。疾病的逐渐发展导致白内障的发展,青光眼,and,偶尔,玻璃体浸润。虹膜和睫状体炎症的触发因素仍然未知。关于发生机制,有几个尚未证实的理论,包括弓形虫感染,免疫功能障碍,致敏淋巴细胞浸润,和慢性疱疹病毒感染。
■本文的目的是介绍一例Fuchs异色虹膜睫状体炎,在我们的诊所进行标准眼科检查时,女性患者出现青光眼和致密性白内障的并发症。下一个目标是以碳酸酐酶抑制剂抗青光眼药物的形式显示适当的治疗算法,白内障手术植入人工晶状体,yag激光囊袋切开术。
■一名55岁的患者到我们的诊所进行检查。7年前,她的眼科医生告诉她,她的右眼视力不足是无法弥补的。眼科检查以及TORCH测试阳性(弓形虫IgG升高)可导致Fuchs异色虹膜睫状体炎的诊断,并伴有青光眼和致密性白内障的并发症。规定了抗青光眼滴剂,PHACO手术是在右眼上植入人工晶状体,和yag激光囊切开术的随访。从光的感觉来看,视力有了显著的改善,并且在右眼上有不确定的投射,到0,5-0,6Snellen刻度。我们还教育了患者的疾病以及她的治疗和后续咨询的重要性。
■由于这种情况的阴险性质,伴随着温和的慢性病程,大多数FHI患者不知道眼睛发生的细微变化.FHI最严重的并发症之一是继发性青光眼,会导致患者永久性视力丧失。FHI患者视力不良的主要原因是白内障的形成,患病率为23%至90.7%。我们特别强调对患者进行有关她的病情以及定期检查的长期和重要性的教育,以防止可能的复发或新的并发症。
UNASSIGNED: Fuchs heterochromic iridocyclitis is a chronic, unilateral iridocyclitis characterized by iris heterochromia. The gradual progression of the disease leads to the development of cataracts, glaucoma, and, occasionally, vitreous infiltration. The trigger for inflammation of the iris and ciliary body is still unknown. There are several as yet unconfirmed theories about the mechanism of occurrence, including Toxoplasma gondii infection, immune dysfunction, infiltration of sensitized lymphocytes, and chronic herpes virus infection.
UNASSIGNED: The aim of this article is to present a case of Fuchs heterochromic iridocyclitis with complications in form of glaucoma and dense cataract in a female patient during a standard ophthalmologic exam in our clinic. The next aim is to show a proper algorithm of treatment in form of carbonic anhydrase inhibitors antiglaucoma medication, cataract surgery with implantation of the intraocular lens, yag laser capsulothomy.
UNASSIGNED: A 55-year-old patient reports to our clinic for an examination. She was informed 7 years ago by her ophthalmologist that her lack of vision in the right eye is irreparable. Ophthalmological examination as well as a positive TORCH test (elevation of IgG for toxoplasma gondii) lead to a diagnosis of Fuchs heterochromic iridocyclitis with complications of glaucoma and dense cataract. Antiglaucoma drops are prescribed, PHACO surgery is performed on the right eye with implantation of the intraocular lens, and yag laser capsulotomy in the follow ups. There was a significant improvement of the visual acuity from light sensation with uncertain projection of the same on the right eye, to 0,5-0,6 Snellen scale. We also educated the patient of her disease as well as the importance of her treatment and follow up consultations.
UNASSIGNED: Due to the insidious nature of this condition, along with a mild chronic course, most patients with FHI are not aware of the subtle changes that occur in their eyes. One of the most serious complications of FHI is secondary glaucoma, which can cause permanent vision loss in patients. The main cause of poor vision in patients with FHI is caused by cataract formation, with a prevalence of 23% to 90.7%. We placed special emphasis on educating the patient about her condition and the long-term and importance of regular check-ups to prevent possible recurrent or new complications.