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Feline Uveitis: Diagnosis and Treatment

机译:猫葡萄膜炎:诊断和治疗

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摘要

Uveitis is the inflammation of any or all parts of the vascular tunic of the eye; the vascular tunic includes the iris, the ciliary body, and choroid. A good knowledge base, up-to-date reference materials, and good instruments will improve the diagnosis of uveitis. Feline uveitis can be caused by numerous infectious agents in addition to neoplasia and less likely trauma. The infectious causes most commonly associated with feline uveitis include feline leukemia virus, feline immunodeficiency virus, feline infectious peritonitis, systemic fungal infections, toxoplasmosis, and bartonellosis. Neoplastic causes of uveitis can be primary or secondary. Iris melanoma is the most common primary uveal neoplasia and trauma-associated sarcoma is the second most common primary uveal neoplasia. Treatment for the clinical signs of anterior uveitis include topical steroidal or non-steroidal anti-inflammatory agents, parasympatholytic agents for ciliary spasm, to keep the pupil dilated, and to prevent posterior synechia. Posterior uveitis should be treated with systemic medications that will address the underlying cause. Enucleation of blind, painful eyes not responsive to medications is a means to alleviate the animal’s discomfort and to further diagnose the underlying cause.
机译:葡萄膜炎是眼睛血管外衣的任何部分或全部发炎;血管外衣包括虹膜,睫状体和脉络膜。良好的知识库,最新的参考资料和良好的仪器将改善葡萄膜炎的诊断。猫类葡萄膜炎除了肿瘤形成和较少的外伤以外,还可以由多种感染因子引起。与猫葡萄膜炎最常见的感染原因包括猫白血病病毒,猫免疫缺陷病毒,猫感染性腹膜炎,全身性真菌感染,弓形体病和巴氏杆菌病。葡萄膜炎的肿瘤原因可以是原发性或继发性的。虹膜黑色素瘤是最常见的原发性葡萄膜瘤,而与创伤相关的肉瘤是第二最常见的原发性葡萄膜瘤。治疗前葡萄膜炎的临床体征包括局部类固醇或非类固醇消炎药,用于睫状痉挛的副交感神经药,保持瞳孔散大和预防后粘连。后葡萄膜炎应使用全身药物治疗,以解决根本原因。消除对药物无反应的盲目的痛苦眼睛是减轻动物不适并进一步诊断其根本原因的一种手段。

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