Japanese
English
- 有料閲覧
- Abstract 文献概要
- 1ページ目 Look Inside
サルコイドージスの,視神経にもたらす病変の頻度およびその特徴を推定するために,サルコイドージス患者および眼サルコイド患者,68例136眼に,ゴールドマン動的視野計を用いて視野検査を施行し,以下の結果を得た.
1)サルコイド性ぶどう膜炎患者の50%に視野変化を認めた.2)視野変化の種類としては,視野の鼻上側の狭窄と傍中心暗点を伴うものが多かった.3)サルコイド性ぶどう膜炎患者と全身のサルコイドージスを伴わない眼サルコイド患者では,視野変化の出現頻度に有意差はなかった.4) Bilateral hilar lymphadenopathyの有無によっても,視野変化の出現頻度に有意差はなかった.5)ぶどう膜炎を伴わないサルコイドージス患者では,視野変化を呈した者はなかった.すなわち,視野変化のある患者は,必ずぶどう膜炎を伴っていた.
T0 elucidate the frequency of optic nerve involve-ment in sarcoid uveitis, we conducted visual field examination in 68 patients with Goldmann perime-ter. In the present series, sarcodi uveitis with sys-temic sarcoidosis was present in 40 cases, ocular sarcoid, or sarcoid uveitis without systemic sar-coidosis in 20, and systemic sarcoidosis without uveitis in 8. There was no case with raised intraocular pressure.
Visual field changes were detected in 30 out of 60patients with sarcoid uveitis. There was no differ-ence in the incidence of abnormal visual field between 40 patients with sarcoid uveitis and sys-temic sarcoidosis and 20 patients with ocular sar-coidosis. Visual field changes were absent in 8 patients without uveitis. Depression in the upper nasal sector and paracentral scotoma were common forms of detected visual field abnormalities. These findings indicate that optic nerve sar-coidosis may be present in about one half of cases with sarcoid uveitis.
Rinsho Ganka (Jpn J Clin Ophthalmol) 41(8) : 939-942, 1987
Copyright © 1987, Igaku-Shoin Ltd. All rights reserved.