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。
Children’s uveitis is not the same as adults’. Under 16 accounts for about 5–10% and is often associated with juvenile idiopathic arthritis. Children’s symptoms can be hidden and easy to miss, and severe symptoms are more likely to leave complications. Treatment must consider development and not use steroids long-term casually. Parents should take children
孩子的葡萄膜炎和成年人不太一样，16岁以下占比约5–10%，常与幼年特发性关节炎相关。孩子症状有时很隐匿，容易漏诊，症状更强烈时更容易留下并发症。治疗要考虑发育问题，不能随便长期用激素。家长如果发现孩子眼睛异常一定要尽早带去检查。我从小就有病，知道家长的担心是什么样的，那种既心疼又无助的感觉很真实。