光学相干断层扫描在中间葡萄膜炎性黄斑病变中的诊断应用

目的 探讨光学相干断层扫描（OCT）图像在中间葡萄膜炎黄斑病变中的诊断应用。方法 用OCT检测中间葡萄膜炎合并黄斑病变患者17例33只眼并进行资料分析。结果 11例22只眼呈现程度不同的黄斑囊样水肿（CME）特征;3只眼可见黄斑区视网膜前膜增生,同时合并神经上皮层增厚及CME病变;2只眼出现黄斑裂孔;6只眼黄斑区可见玻璃体部分后脱离,并能清晰地显示出玻璃体对视网膜的细小牵引。结论 OCT能客观、精确、有效、方便地对中间葡萄膜炎黄斑病变进行类似病理学的检查。     

47例全葡萄膜炎的眼底荧光血管造影特征

目的观察全葡萄膜炎的眼底荧光血管造影(fundus fluorescein angiography, FFA)特征。方法对47例全葡萄膜炎患者的62只眼按常规方法作FFA检查。结果47例62只眼FFA均出现视盘的荧光素渗漏,12例14只眼视网膜静脉充盈延迟,22例24只眼毛细血管荧光素渗漏,15例18只眼视网膜色素上皮荧光素渗漏,11例13只眼黄斑点状荧光素渗漏,14例18只眼黄斑囊样水肿。结论全葡萄膜炎的FFA特征为视盘、视网膜色素上皮、视网膜血管和黄斑出现不同程度的荧光素渗漏。FFA能客观地反映葡萄膜炎对视网膜组织的损害,对确定一些类型的葡萄膜炎有重要价值。(中华眼底病杂志,1999,15:108-109)     

中间葡萄膜炎的临床特征与治疗

目的 观察中间葡萄膜炎的临床表现、并发症和治疗效果。方法 回顾分析36例中间葡萄膜炎患者66只眼的临床表现、荧光素眼底血管造影（FFA）特征、治疗效果和预后。患者中男21例，女15例，年龄8～70岁，平均年龄34.8岁。双眼30例，单眼6例。结果 主要临床表现为玻璃体混浊，周边部视网膜血管病变，视盘水肿，黄斑水肿和后囊下白内障。FFA表现为周边部视网膜血管炎性病变，视盘强荧光，黄斑囊样水肿和视网膜静脉染色。经治疗后，31例患者60只眼视力提高，占90.9%；4例5只眼视力稳定，占7.6%；1例1只眼视力下降，占1.5%。导致视力损害的主要并发症有黄斑囊样水肿、后囊下白内障和玻璃体积血。结论 中间葡萄膜炎是一种较常见的双眼慢性进行性眼内炎症，主要累及前部玻璃体、睫状体扁平部和周边部视网膜血管，早期发现和及时治疗可防止发生永久性视力损害。     

甲基强的松龙治疗葡萄膜炎的疗效观察

目的:评价全身及眼局部联合应用甲基强的松龙治疗葡萄膜炎的疗效。方法:回顾性分析于中国医科大学附属第一医院眼科就诊并诊断为葡萄膜炎的患者86例157眼,应用甲基强的松龙500～1000mg全身静点冲击3～5d,后改为强的松1mg/(kg.d)口服,并且逐渐减量;患眼局部应用甲基强的松龙40mg球后注射连续3～5d,并逐渐减量,依据患者病情调整用药,观察治疗前后患者最佳矫正视力(BCVA)、眼底镜下所见葡萄膜炎和渗出性视网膜脱离恢复情况、眼底血管荧光造影荧光渗漏情况及OCT检查后极部视网膜厚度变化情况。结果:至随访期末,BCVA提高>2行者128眼(81.5%),BCVA无变化16眼(10.2%),BCVA下降13眼(8.3%);葡萄膜炎及渗出性视网膜脱离完全或基本消退者149眼(94.9%);眼底荧光血管造影渗漏完全或基本消失者131眼(83.4%);OCT检查后极部视网膜厚度降低者134眼(85.4%),不变者14眼(8.9%),后极部视网膜厚度增加者9眼(5.7%)。结论:应用甲基强的松龙治疗葡萄膜炎疗效确切,可有效控制葡萄膜炎症,提高视功能。     

梅毒性后葡萄膜炎眼底表现及眼底血管造影特征

梅毒性后葡萄膜炎是一组累及脉络膜、视网膜及视网膜血管的炎症性病变.目前,临床上主要通过荧光素眼底血管造影(FFA)检查了解其病变情况,但由于视网膜色素上皮(RPE)的影响,使FFA对脉络膜炎症的观察受到限制[1].为探讨吲哚青绿血管造影(ICGA)检查在梅毒性后葡萄膜炎中的意义,我们对一组梅毒性后葡萄膜炎患者的眼底及FFA和ICGA检查特征进行了总结分析.现将结果报道如下.     

特殊类型葡萄膜炎眼底荧光血管造影分析

目的 探讨特殊类型葡萄膜炎患者的眼底图像特征及荧光素眼底血管造影(fundusfluorescein angiography,FFA)的特征.方法 回顾分析山西医科大学第一医院2005年4月至2008年2月在眼科门诊行FFA检查并确诊为葡萄膜炎的患者56例98只眼的眼底和FFA图像特征及相关临床资料.结果 56例98只眼葡萄膜炎患者中,双眼发病的有42例84只眼,单眼发病的有14只眼.其中以Behcet病(Behcet disease)最多有25例48只眼;Vogt-小柳-原田病(VKH)有13例25只眼;急性视网膜坏死综合征(ARNS)有10例16只眼;系统性红斑狼疮(SLE)伴葡萄膜炎有8例9只眼.多数患者眼底主要表现为:视盘充血,边界不清,黄斑呈囊样水肿,静脉迂曲扩张,动脉变细,后极部网膜弥漫性水肿.FFA主要表现为:视盘荧光着染且在中后期可见荧光渗漏,黄斑囊样荧光积存,网膜血管轻到中度荧光染色伴渗漏,视网膜深层平面片状荧光渗漏.VKH患者的眼底在赤道前网膜下可见Dalen-Fuch结节.结论 不同疾病可引起不同类型的葡萄膜炎.通过FFA检查可确诊特殊类型的葡萄膜炎,对其治疗起到重要的指导意义.     

Vogt-小柳原田病的光学相干断层扫描图像特征

目的:观察和分析Vogt-小柳原田病(Vogt-Koyanagi-Hara-da,VKH)葡萄膜炎期多湖状视网膜脱离的光学相干断层扫描(OCT)图像特征。方法:对12例VKH患者24眼进行眼底荧光血管造影(fundus fluorescein angiography,FFA)和OCT检查。结果:OCT图像可见12例24眼均有视网膜神经上皮浆液性脱离,视网膜下间隔将视网膜神经上皮脱离区分成多个部分。应用激素治疗后,视网膜浆液性渗出吸收,视网膜下的间隔完全消失。结论:VKH治疗前,视网膜下间隔导致VKH多湖状视网膜脱离。     

全葡萄膜炎的荧光素眼底血管造影及吲哚菁绿血管造影特征

目的 观察全葡萄膜炎的荧光素眼底血管造影(FFA)及吲哚菁绿血管造影(ICGA)特征.方法 对22例(22只眼)全葡萄膜炎患者的28只眼按常规方法 做FFA检查.其中4例(8只眼)做ICGA检查.结果 16例活动性病变的FFA均出现视盘及附近视网膜高荧渗漏,其中4例(6只眼)视网膜血管充盈延迟,狭窄或闭塞,管壁染色渗漏为主,6例(9只眼)毛细血管荧光素渗漏,7只眼视网膜色素上皮荧光素渗漏;6只眼黄斑点状荧光素渗漏,4例(6只眼)黄斑囊样水肿,3例(4只眼)伴视网膜出血及棉绒斑.6例(6只眼)陈旧性全葡萄膜炎见视网膜弥漫斑驳样荧光部分合并小的遮蔽荧光.4例吲哚菁绿造影中1例特发性全葡萄膜炎表现为脉络膜毛细血管扩张及高荧光,1例VKH早期脉络膜血管无异常,后期脉络膜不均匀的荧光渗漏.1例白塞病2只眼表现为脉络膜毛细血管充盈不良、低荧光遮蔽,1例白塞病患者双眼脉络膜及血管未见异常.结论 全葡萄膜炎的FFA特征为视盘、视网膜色素上皮、视网膜血管和黄斑出现不同程度的荧光素渗漏.ICGA以脉络膜的低荧光和(或)高荧光表现为主、早期脉络膜血管可以无变化.FFA及ICCG能客观地反映葡萄膜炎对视网膜组织的损害,对确定葡萄膜炎的类型及病程提供诊断和治疗依据.     

Vogt-Koyanagi-Harada综合征的临床表现及诊断

目的 探讨Vogt-Koyanagi-Harada(VKH)综合征患者的临床特征.盲目原因及诊断等有关问题.方法 对在1996年1月至2000年12月间就诊资料完整的157例VKH综合征患者进行回顾性分析,并对裂隙灯,眼底镜,三面镜,荧光素眼底血管造影(fundus fluorescein angiography,FFA),吲哚青绿血管造影(indocyanine green angiography,ICGA)及人类白细胞抗原(HLA)分型等检查结果进行分析.结果 VKH综合征最常见的前驱症状为头痛(102例,73.5%),双眼同时患病118例(80.8%);后葡萄膜炎期眼部主要表现为脉络膜炎,视乳头及附近视网膜水肿(100.0%);前葡萄膜炎反复发作期眼部表现为复发性肉芽肿性前葡萄膜炎(128例,98.4%),晚霞状眼底改变(95.8%)及Dalen-Fuchs结节(71.2%),后葡萄膜炎期,前葡萄膜受累期及前葡萄膜炎反复发作期导致盲目的主要原因分别为视乳头炎,视网膜脱离及并发性白内障;毛发变白(36.3%)及脱发(35.0%)是最常见的眼外表现;炎症活动期FFA典型表现为斑驳状高荧光,ICGA发现脉络膜血管扩张,通透性增高等改变;VKH综合征患者HLA-DR4及HLA-DRw53的阳性率(54.9%及71.8%)显著高于正常对照组(14.7%及38.2%).结论 VKH综合征患者在后葡萄膜炎期眼部典型表现为双侧脉络膜炎,视乳头炎或神经视网膜炎,随后出现以反复发作的肉芽肿性前葡萄膜炎为特征的全葡萄膜炎.眼外症状及相关的辅助检查包括FFA,ICGA及HLA分型等有助于VKH综合征的诊断。     

梅毒性葡萄膜炎32例临床分析

目的 观察梅毒性葡萄膜炎患者的临床特征及治疗预后.方法 回顾性分析临床及血清学检查确诊的梅毒性葡萄膜炎患者32例50只眼的临床资料.其中,男性18例,女性14例;年龄21～62岁,平均年龄(42.0±10.4)岁;双眼18例;单眼14例.所有患眼行矫正视力、眼压、裂隙灯显微镜检查;行间接检眼镜、眼底彩色照相、荧光素眼底血管造影(FFA)检查47只眼,吲哚青绿血管造影(ICGA)检查44只眼.驱梅治疗后随访3～36个月,中位数14个月.结果 50只眼中,前葡萄膜炎4只眼、全葡萄膜炎38只眼、后葡萄膜炎8只眼,分别占患眼8.0％、76.0％、16.0％.患眼矫正视力无光感～1.0.角膜后沉着物、前房闪辉42只眼,占患眼的84.0％;视盘充血水肿30只眼,占患眼的60.0％;后极部及中周部灰黄色病灶18只眼,占患眼的36.0％;眼底无异常改变6只眼,占患眼的12.0％.FFA检查结果显示,视盘毛细血管扩张,荧光渗漏32只眼,占患眼的64.0％;视网膜血管管壁荧光渗漏及着染34只眼,占患眼的68.0％;后极部视网膜斑片状弱荧光24只眼,占患眼的48.0％;黄斑区囊样荧光积存15只眼,占患眼的30.0％.ICGA检查结果显示,后极部有鳞状或椒盐状弱荧光26只眼,占患眼的52.0％.驱梅治疗后,视力提高34只眼,占患眼的68.0％.结论 梅毒性葡萄膜炎以全葡萄膜炎多见.眼底以视网膜血管炎同时伴有视网膜脉络膜炎为主要表现;正规治疗预后较好.     

Comparison between optical coherence tomography and fundus fluorescein angiography for the detection of cystoid macular edema in patients with uveitis

PURPOSE: To compare optical coherence tomography (OCT) with fundus fluorescein angiography (FFA) for the detection of cystoid macular edema (CME) in patients with uveitis. DESIGN: Prospective comparative observational series. PARTICIPANTS: One hundred twenty-one eyes of 58 patients with uveitis of varied causes (seven patients were studied twice). TESTING: Patients with suspected CME underwent OCT scanning followed by FFA at the same visit. MAIN OUTCOME MEASURES: Detection and distribution of macular edema. RESULTS: One hundred eight eyes had similar results on both OCT and FFA in that 67 eyes had CME and 41 eyes had no CME. In 10 eyes subretinal fluid was detected on OCT but not FFA. Five of these eyes had CME on FFA but not OCT. Three other eyes had CME that was detected by FFA but not by OCT. Compared with FFA, the OCT sensitivity for detecting CME was 96% (including the eyes with subretinal fluid), and the OCT specificity was 100%. CONCLUSIONS: OCT is as effective at detecting CME as is FFA but is superior in demonstrating axial distribution of fluid.     

糖尿病性黄斑水肿的FFA与OCT的应用对比

目的:探讨糖尿病性黄斑水肿FFA与OCT的应用及其相互关系。方法:对70例135眼糖尿病性黄斑水肿患者行中心视力、最佳矫正视力、眼压、直接检眼镜、裂隙灯显微镜联合+90D前置镜散瞳眼底检查、散瞳眼底彩色照相、相干光断层扫描(OCT)、荧光素眼底血管造影(FFA)检查,并将相干光断层扫描和荧光素眼底血管造影结果比较分析。结果:轻度水肿时,FFA表现异常56眼,OCT表现异常68眼(P=0.0009);FFA表现正常12眼中,其OCT检查有10眼为海绵样改变;FFA表现为囊样型的,其OCT表现为囊样型占46.7%。结论:FFA,OCT联合应用于诊断糖尿病性黄斑水肿,而OCT作为临床随访DME是必不可少的检查手段,早期应用有优势。     

Clinical and Demographic Characteristics of Patients with Uveitis Starting Later in Life

Abstract

Purpose: To evaluate uveitis cases presenting at older ages for the first time.

Methods: We retrospectively analyzed the clinical data related to the 90 eyes of 68 patients who presented with a first episode of uveitis at the age of ≥60 years and were seen at the Uveitis Division of the Ulucanlar Eye Hospital from 1996 to 2013.

Results: The location of the uveitis was anterior in 51 (75%) patients. Nine patients (13.2%) presented with panuveitis, 5 (7.3%) with posterior uveitis, and 3 (4.4%) patients with intermediate uveitis. Idiopathic uveitis in 23 (33.8%) and presumed herpetic anterior uveitis in 23 (33.8%) patients were the most common diagnoses, while other diagnostic entities accounted for 22 (32.3%) patients. The most common complications were elevation of intraocular pressure in 17.7%, cystoid macular edema (CME) in 11.1%, and corneal scar in 11.1% of eyes.

Conclusions: While idiopathic uveitis and presumed herpetic anterior uveitis were the most common causes, although in an endemic country, Behçet disease was not a common cause of uveitis in the elderly population.     

前葡萄膜炎合并黄斑水肿的相关因素分析

目的分析前葡萄膜炎患者并发黄斑囊样水肿（CME）的发生率及相关危险因素。方法采用回顾性病例分析方法,连续收集在天津市眼科医院就诊的各种原因所致的前葡萄膜炎患者108例129眼,详细询问病史并进行眼科检查,应用光学相干断层扫描（OCT）检查或荧光素眼底血管造影（FFA）检查确定CME的存在。结果前葡萄膜炎患者108例129眼中单眼发病者87例,双眼发病者21例。出现CME改变者41例43眼,发生率为33.3%。其中并发CME患者的最低平均矫正视力为0.41±0.16,未发生CME患者的最低平均视力为0.56±0.13,二者比较差异有统计学意义（q=5.040,P=0.000）;2组患者恢复期平均矫正视力（0.82±0.18/0.85±0.14）比较差异无统计学意义（q=1.130,P=0.260）。对2组患者的眼部及全身相关因素的多变量Logistic回归分析发现,CME的发生与病史反复发作（P=0.017,OR=7.62,95%CI：1.44～40.23）、HLA-B27阳性（P=0.049,OR=3.93,95%CI：1.01～15.30）、玻璃体细胞（P=0.023,OR=3.46,95%CI：1.19～10.04）、年龄较大（P=0.001,OR=1.09,95%CI：1.04～1.15）和初诊时矫正视力低（P=0.007,OR=0.01,95%CI：0.00～0.25）均呈明显相关,性别（P=0.09,OR=0.39,95%CI：0.13～1.16）、伴随的高血压病（P=0.960,OR=1.04,95%CI：0.32～3.35）或糖尿病史（P=0.510,OR=1.57,95%CI：0.41～6.06）、幼年性关节炎（P=0.470,OR=2.61,95%CI：0.19～35.27）和最终矫正视力（P=0.870,OR=0.73,95%CI：0.02～30.20）与CME的发生均无明显相关。结论病情反复发作、HLA-B27阳性、玻璃体细胞和年龄是前葡萄膜炎患者并发CME的主要危险因素。经积极治疗后,多数患者视力恢复较好,仅少数患者造成永久性视力损害。     

儿童葡萄膜炎临床分析

目的 分析儿童葡萄膜炎的临床特点、治疗效果、视力预后以及相关的全身疾病.方法 采用回顾性病例分析方法,收集近4年间在天津市眼科医院诊治的16周岁及以下的儿童葡萄膜炎患者106例(165只眼),通过详细询问病史、眼部或全身检查,确定葡萄膜炎类型;分析其治疗效果、并发症发生情况和视力预后.结果 在106例患者中,男45例,女61例(1:1.4);平均发病年龄为(10.9±3.3)岁.急性发病18例(17.0%),慢性发病37例(34.9%),反复发作者51例(48.1%).单眼发病47例,双眼发病59例.其中前葡萄膜炎52例(49.1%),中间葡萄膜炎31例(29.2%)、全葡萄膜炎15例(14.2%)和后匍萄膜炎8例(7.5%).感染性葡萄膜炎15例(14.2%),特发性或免疫相关性炎症91例(85.8%).根据病因分类,特发性前葡萄膜炎36例(34.0%),特发性中间葡萄膜炎31例(29.2%),特发性全葡萄膜炎13例(12.3%),合并幼年型关节炎10例(9.4%)和病毒性前葡萄膜炎5例(4.7%).42例患儿58只跟(35.2%)出现眼部并发症,主要有虹膜后粘连(21.8%)、并发白内障(17.0%)、继发青光眼(9.7%)、角膜带状变性(9.7%)和黄斑囊样水肿(8.5%).末次随访矫正视力低于0.5者45只眼(27.3%),低于0.1者16只眼(9.7%).结论 前葡萄膜炎是儿童时期常见的葡萄膜炎类型,其次为中间葡萄膜炎和全葡萄膜炎,后部葡萄膜炎较少见.多数患者表现为慢性特发性炎症,感染性葡萄膜炎较少见.儿童葡萄膜炎引发的各类并发症是致盲的主要原因.     

不同类型葡萄膜炎患者致病原因分析

目的：分析不同类型葡萄膜炎患者的致病原因。
　　方法：选取2012-06/2015-06在我院进行诊治的葡萄膜炎患者60例120眼,所有患者均由同一葡萄膜炎专科医生,按照统一诊疗规范进行检查。依据国际葡萄膜炎研究定制的标准,将其分为：前葡萄膜炎、中葡萄膜炎、后葡萄膜炎、全葡萄膜炎。观察患者的年龄、性别、葡萄膜炎类型及患病原因。
　　结果：通过对患者的病因及临床类型分析,所选葡萄膜炎患者主要特发性26眼(21.7%)、VKH 综合征18眼(15.0%)、HLA-B27相关性14眼(11.7%)、病毒性12眼(10.0%)、Fuchs 综合征8眼(6.7%)、Behcet 病8眼(6.7%)、糖尿病6眼(5.0%)、梅毒6眼(5.0%)、青光眼睫状体综合症6眼(5.0%)、幼年型慢性关节炎4眼(3.3%)、交感性眼炎4眼(3.3%)、外伤性2眼(1.7%)、类肉瘤2眼(1.7%)、眼内炎2眼(1.7%)、其他2眼(1.7%);通过对不同葡萄膜炎的病因观察,前葡萄膜炎病因主要有特发性病例,其次是HLA-B27相关性、病毒性;全葡萄膜炎的治病原因中以VKH综合征、特发性病例和Behcet病为主;后葡萄膜炎主要是特发性病例,其次是病毒性感染;中间葡萄膜炎以特发性病例为主。
　　结论：通过对临床患者观察分析,葡萄膜炎患者男性多于女性;特发性、VKH 综合征、病毒性伴发的葡萄膜炎和Behcet病是其常见的葡萄膜炎类型。     

Spectrum of Uveitis in A German Tertiary Center: Review of 474 Consecutive Patients

Abstract

Purpose: To analyze the spectrum of uveitis at a German tertiary center.

Patients and methods: A total of 474 consecutive patients with uveitis were classified according to the primary anatomic site of inflammation, examined for laterality of disease, and screened for etiologies.

Results: Out of the total, 253 patients (53%) had anterior uveitis, 90 patients (19%) had intermediate uveitis, 100 patients (21%) had posterior uveitis, and 31 patients (7%) had panuveitis. Fifty-six percent of the patients had bilateral involvement, predominantly in intermediate uveitis (ratio 4:1) and panuveitis (ratio 3.4:1). Regarding the etiology of all uveitis cases we found 17% infectious, 23% specific clinical entities, 20% associated with systemic disease (most commonly sarcoidosis with 11%), and 41% idiopathic uveitis.

Conclusions: Anterior uveitis was the most common anatomic site of intraocular inflammation. Using a tailored approach, screening for systemic etiologies is recommended, since 20% of all patients had associated systemic diseases.     

Characteristics and predictors of recurrence of anterior and intermediate uveitis in a Canadian referral centre

Objective: To describe the characteristics of uveitis in a Canadian referral centre and to identify predictors of uveitis recurrence.Design: Retrospective cohort study.Participants: Two hundred eighty-five patients with anterior uveitis, intermediate uveitis, or panuveitis.Methods: We conducted a retrospective study of all patients presenting with anterior uveitis, intermediate uveitis, or panuveitis to the sole uveitis subspecialist at the regional referral centre between September 2004 and March 2006. Patients with posterior uveitis were excluded. Characteristics such as onset, severity, anatomical subtype, systemic association or etiology, recurrence rate, response to treatment, and complications were identified. Regression analysis was used to determine predictors of uveitis recurrence.Results: Three hundred sixty-four eyes from 285 patients were enrolled. Anatomical subtypes were 313 anterior, 36 intermediate, and 15 panuveitis. Systemic associations included ankylosing spondylitis (11.3%), inflammatory bowel disease (6%), sarcoidosis (4.1%), and herpes infections (3.8%). A human leukocyte antigen B27 (HLA-B27)-related association was found in 86 patients (23.6%). Patients with uveitis-associated complications or back symptomatology were more likely to have a recurrence (odds ratios 3.86 and 2.29, respectively).Conclusions: Common associations were ankylosing spondylitis, inflammatory bowel disease, sarcoidosis, and herpes infections. Patients with uveitis complications and back symptomatology were significantly more likely to have uveitis recurrences.     

Fluorescein angiographic findings and clinical features in Fuchs’ uveitis

Fuchs’ uveitis is very often diagnosed with substantial delay, which is at the origin of deleterious effects such as unnecessary treatment and its consequences. The aim of this study was to analyse the type and frequency of posterior inflammatory and fluorescein angiographic signs in Fuchs’ uveitis in conjunction with other clinical signs. Patients seen at the Centre for Ophthalmic Specialised Care (COS) in Lausanne and the Memorial A. de Rothschild, Clinique Générale-Beaulieu in Geneva between 1995 and 2008 with the diagnosis of Fuchs’ uveitis and who had undergone a fundus fluorescein angiography (FFA) were analysed. In addition to FFA signs, the data collected included age, gender, initial and final visual acuities, clinical findings at presentation, mean diagnostic delay and ocular complications. Between 1995 and 2008, 105 patients seen in our centres in Lausanne and Geneva were diagnosed with Fuchs’ uveitis. Forty of them (38.1%) had undergone at least one FFA. One patient was excluded because of a concomittant diagnosis of multiple sclerosis. In 28 of 39 patients (71.2%) diagnosis was not reached at presentation with a mean diagnosis delay of 3.67 ± 4.86 years (range: 1 month–24 years). The original erroneous diagnosis was intermediate uveitis in 16 patients (57.1%), posterior uveitis in two patients (7.1%), panuveitis in four patients (14.3%) and anterior granulomatous uveitis in six patients (21.4%). Fluorescein angiography demonstrated the presence of disc hyperfluorescence in 43/44 eyes (97.7%), sectorial peripheral retinal vascular leaking in 6/44 eyes (13.6%) and cystoid macular oedema in 4/44 eyes (9.1%), all of which were seen in eyes having undergone cataract surgery. Fuchs’ uveitis was bilateral in 5/39 patients (12.8%). The most frequent clinical signs were vitritis in 42/44 eyes (95.5%), stellate keratic precipitates in 41 eyes (93.2%), posterior subcapsular opacities or cataract in 19 eyes (43.2%), and heterochromia in 19 eyes (43.2%). Fuchs’ uveitis is a largely underdiagnosed uveitis, probably because the predominant vitreous involvement is ignored by many ophthalmologists. In addition, the nearly constant inflammatory fluorescein angiography findings reported here such as disc hyperfluorescence and, more rarely, peripheral retinal vascular leaking, are not well known and are not usually associated with Fuchs’ uveitis but represent an additional factor leading to misdiagnosis. These findings need to be recognised in order to reduce diagnostic delay.