Prognosis depends on the cause, inflammation severity, and whether treatment is timely. Mild anterior uveitis usually has a good prognosis and vision can recover; if it is posterior uveitis or with severe complications, the prognosis is worse and there may be permanent damage. Overall data show timely intervention can allow about 70% of patients […]
预后取决于病因、炎症严重度和治疗是否及时。轻度前葡萄膜炎预后通常不错，视力可以恢复；如果是后段炎或并发严重并发症，预后就差些，可能有永久损伤。总体数据表明及时干预大约能让70%的患者保持良好视力。患者的依从性和生活管理也很重要，定期复查能大大提高预后改善的机会。我的体会是：按时复查、认真用药和注意生活细节，能换来更多安心和更少的反复。我也很庆幸我能像正常人一样生活和学习。
Children easily develop cataracts, glaucoma, or retinal detachment, and these problems must be dealt with promptly. For cataracts, control inflammation first and then do surgery to remove them; continue medication after surgery to prevent relapse. For glaucoma, use drugs to lower pressure first and surgery if necessary. Retinal detachment is an emergency that requires
孩子容易并发白内障、青光眼或视网膜脱离，这些问题要及时处理。白内障先控制炎症再手术摘除，术后继续用药预防复发；青光眼先用药降压，必要时手术；视网膜脱离是紧急情况要尽快手术。医生会尽量选择微创方法，术前把炎症控制好能明显提升成功率（有研究提示术前控制好炎症成功率可达80%）。看到其他孩子因为及时处理而保住视力，我就更相信早期规范治疗的重要性。
Treatment for children is more cautious, mainly to avoid affecting growth and development. Commonly used are topical glucocorticoids, mydriatics and nonsteroidal anti-inflammatory drugs; chronic or difficult cases will use methotrexate or immunosuppressants or biologics like Humira to reduce long-term steroid use. Treatment requires multidisciplinary cooperation between ophthalmology and rheumatology, and close monitoring of the child’s
孩子的治疗更谨慎，主要是要避免影响生长发育。常用局部糖皮质激素、散瞳剂和非甾体抗炎药，慢性或难治病例会用甲氨蝶呤或Humira之类的免疫抑制或生物制剂，以减少长期激素使用。治疗需要眼科和风湿科等多学科合作，并密切监测孩子的生长和发育。
Examining children needs skill. Commonly used are slit lamp, fundus exam, non-contact tonometer and blood tests (including antibodies and HLA typing), combined with systemic symptoms for judgment. Sometimes specific tests like anti-Toxoplasma antibody are needed to rule out parasitic infection. Parents’ cooperation in providing history and observation records helps doctors make quick judgments, saving
给孩子检查要有技巧，常用裂隙灯、眼底检查、非接触式眼压计和血检（包括抗体和HLA分型），结合全身症状判断。有时需要特异性检测比如抗弓形虫抗体来排除寄生虫感染。家长配合提供病史和观察记录能帮医生快速判断，节约时间和减少孩子不适。