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要約 目的:眼瞼型特発性眼窩炎症の臨床症状と治療効果の報告。対象と方法:過去4年間に診断した特発性眼窩炎症43例のうち眼瞼型18例を対象とし,臨床症状と治療効果を検討した。結果:男性12例,女性6例で,年齢は25~73歳,平均52歳であった。片側が17例,両側が1例であった。症状または徴候として,眼痛が67%,眼瞼腫脹が67%,視力低下が28%,眼球運動制限が39%,ぶどう膜炎が17%,眼内腫瘍に類似する所見が22%にあった。症状は高用量ステロイド投与で8例中4例(50%),低用量ステロイド投与で10例中6例(60%)が改善した。両群間に有意差はなかった(p=0.35)。結論:眼瞼型特発性眼窩炎症では,ぶどう膜炎または眼内腫瘍類似の症状が起こることがある。症状の改善率はステロイドの初期量に依存しない。
Abstract. Purpose:To report the clinical features and therapeutic outcome of anterior type of idiopathic orbital inflammation. Cases and Method:A total of 43 cases had been diagnosed with idiopathic orbital inflammation during the foregoing 4 years. This review was made on 18 out of the 43 cases with anterior type of idiopathic orbital inflammation. Results:The series comprised 12 males and 6 females. Their age ranged from 25 to 73 years,average 52 years. Seventeen cases were bilaterally and one case was unilaterally involved. Clinical manifestations comprised ocular pain 67%,eyelid swelling 67%,decreased visual acuity 28%,restricted ocular motility 39%,uveitis 17%,and findings simulating intraocular tumor 22%. Clinical features improved in 4 out of 8 cases(50%)after high-dosage and in 6 out of 10 cases(60%)after low-dosage corticosteroid. The difference was not significant(p=0.35). Conclusion:Anterior type of idiopathic orbital inflammation may manifest uveitis and findings and simulating intraocular tumor. Rate of improvement does not depend on the dosage of corticosteroid.
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