葡萄膜积液综合征

D. A. Latigan, K. L. Latigan, S. Sakhnov, E. V. Bykova, A. V. Usov
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摘要

目的。介绍葡萄膜积液综合征的发病机制、临床表现、诊断方法及治疗方法。材料和方法。为了进行回顾,我们通过Pubmed、Scopus和library数据库检索了截至2020年的文献来源,关键词是:“葡萄膜积液”、“睫状体脱离”、“脉络膜积液”、“严重视网膜脱离”、“纳米眼”、“葡萄膜积液综合征”。与综述主题相关的文章共46篇。关于这一主题的出版物始于1963年。结果。对出版物的分析表明,目前诊断和确定葡萄膜积液综合征治疗策略的困难是由于鉴别诊断搜索的浩瀚,各种临床相似疾病以及对这种疾病的发病机制缺乏共识。结论。葡萄膜积液综合征是一种排除性诊断,只有排除了其他原因,如血源性视网膜脱离、炎症过程、肿瘤过程、全身性疾病、创伤、既往眼科手术等,才能进行排除性诊断。正确诊断和确定葡萄膜积液综合征的类型可以使患者免于不必要的外科手术,如玻璃体切除甚至摘除术。关键词:葡萄膜积液综合征,发病机制,分型,治疗
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The uveal effusion syndrome
Purpose. To present data on pathogenesis, clinical manifestations, diagnostic methods and treatment of uveal effusion syndrome. Material and methods. To perform the review, literature sources were searched through the Pubmed, Scopus and eLibrary databases up to and including 2020, using the keywords: «uveal effusion», «ciliochoroidal detachment», «choroidal effusion», «serous retinal detachment», «nanophtalmos», «uveal effusion syndrome». A total of 46 articles related to the topic of the review were selected. The beginning of publications on this theme started at 1963. Results. Analysis of publications testifies that today difficulties in diagnosing and determining therapeutic tactics for uveal effusion syndrome are due to the vastness of the differential diagnostic search, a variety of clinically similar diseases and the lack of consensus on the pathogenesis of this condition. Conclusion. Uveal effusion syndrome is a diagnosis of exclusion which can be taken only when other reasons of ciliochoroidal detachment, such as rhematogenous retinal detachment, inflammatory processes, neoplastic processes, systemic diseases, trauma, previous ophthalmic surgery, are excluded. Correct diagnosis and determination the type of uveal effusion syndrome can save patients from unnecessary surgical procedures, such as vitrectomy or even enucleation. Key words: uveal effusion syndrome, pathogenesis, classification, treatment
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