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本文报道了作者在86年上半年所遇到的9例Fuchs 综合征病人的临床表现:均为单眼发病,无红痛、多以白内障首次就诊;有白色K.P.,虹膜异色、轻度房水闪光、瞳孔正常无粘连、玻璃体轻度混浊、晶体混浊、半数病例有眼压增高。7例做虹膜荧光血管造影,4例有不同程度血管荧光渗漏及放射状血管显影,推测该病血管病理机制与局部缺血和血管阻塞有关。6例行白内障囊内摘出术,术后灰白色K.P.消失,白内障术后视力矫正好,提示虹膜炎症与晶体异常有关。4例行前房穿刺,3例Amsler 征阳性,此征对诊断有价值。结合文献复习,本文对Fuchs 综合征的病因、诊断和治疗进行讨论。此外,还介绍了部分病例免疫学检查及虹膜病理检查的特征。
This article reports the clinical manifestations of nine Fuchs syndrome patients encountered by the author in the first half of the year of 86: all were monocular and had no red pain and were first seen with cataract; white KP, iris, mild aqueous humor Flash, normal pupil adhesion, mild vitreous opacity, crystal opacity, half of the cases have increased intraocular pressure. Seven cases of iris fluorescein angiography, 4 cases of varying degrees of vascular leakage and radial vascular imaging, speculated that the pathological mechanism of the disease and ischemia and vascular occlusion related. 6 cases of cataract extraction intracapsular surgery, postoperative gray K.P. disappeared, visual acuity after cataract surgery, suggesting that iris inflammation and crystal abnormalities. 4 cases of anterior chamber puncture, 3 cases of Amsler sign positive, the sign of diagnosis. Combined with the literature review, this article discusses the etiology, diagnosis and treatment of Fuchs syndrome. In addition, some cases of immunological examination and iris pathological features are also introduced.