后巩膜炎是一种发生在后部巩膜的炎症,好发于中年女性,并与全身免疫性疾病密切相关.后巩膜炎临床表现多样,缺乏特异性,易与眼部肿瘤、眼眶炎症以及视网膜脉络膜病变相混淆.因此,辅助检查对于后巩膜炎的诊断更为重要.如能早期正确诊断和积极治疗,包括视力丧失在内的严重并发症完全是可以避免的.就后巩膜炎的发病情况、病因、临床症状和体征、诊断、鉴别诊断以及治疗等进行综述.%Posterior scleritis,an inflammatory disease of the posterior sclera,is most commonly seen in middle-aged women and often associated with systemic immunological diseases.It presents with a variety of nonspecific signs and symptoms,and its clinical feature may be confused with ocular tumors,orbital inflammation,and retinochoroidopathy.Therefore,some auxiliary examinations are necessary for the diagnosis of posterior scleritis.With early proper diagnosis and treatment,severe complications of posterior scleritis can be avoided or lessened.In the paper,some advancement in the study of etiology,incidence,signs,symptoms,auxiliary examination,differential diagnosis and treatment of posterior scleritis were reviewed.
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