Klin Monbl Augenheilkd 2024; 241(05): 626-632
DOI: 10.1055/a-2239-0412
Übersicht

Ocular Involvement in Selected Rheumatic Diseases – Clinical Manifestation in Adulthood

Artikel in mehreren Sprachen: deutsch | English
Karoline Baquet-Walscheid
1   Augenzentrum am St. Franziskus-Hospital Münster, Deutschland
2   Medizinische Fakultät, Universität Duisburg-Essen, Essen, Deutschland
,
Thomas Rath
3   Rheumatologie, Fachklinik Bad Bentheim, Deutschland
,
Arnd Heiligenhaus
1   Augenzentrum am St. Franziskus-Hospital Münster, Deutschland
2   Medizinische Fakultät, Universität Duisburg-Essen, Essen, Deutschland
› Institutsangaben

Abstract

Ocular manifestations of rheumatic diseases are common and contribute significantly to the morbidity and reduced quality of life of affected patients. Knowledge of typical clinical manifestations is important for the rheumatologist in order to support the reference of patients with corresponding symptoms for ophthalmological consultation at an early stage of disease, or to initiate regular screening examinations (e.g. in patients with Behçetʼs syndrome). Conversely, a (possibly urgent) rheumatological assessment is crucial for certain ophthalmological diseases, in order not to overlook a (possibly fatal) systemic associated disease. Patients with rheumatic or inflammatory ocular diseases should always be informed by the treating physician about possible symptoms of other organ manifestations, in order to avoid a delayed diagnosis. “Classic” associations for uveitis are (HLA-B27-associated) spondyloarthritis and acute anterior uveitis, as well as retinal vasculitis with or without panuveitis and Behçetʼs syndrome. In patients with rheumatoid arthritis or ANCA-associated vasculitis, however, scleritis (with or without peripheral ulcerative keratitis) typically occurs, but a variety of other findings are also possible. Close interdisciplinary collaboration, particularly regarding therapeutic decisions, is crucial to ensuring a good prognosis for the patient.



Publikationsverlauf

Eingereicht: 08. Dezember 2023

Angenommen: 19. Dezember 2023

Artikel online veröffentlicht:
04. April 2024

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