Author name: Henry (Ruiheng) Chen

  感染性葡萄膜炎更好治，因为有明确的病原可以治疗；结核性、梅毒性、病毒性或寄生虫性在对症治疗下常能好转或治愈。自身免疫型就没那么容易根除，但生物制剂可以显著降低复发。研究显示感染性治愈率可达70%，非感染性只有10–20%。接受现实预期、配合治疗，很多人还是能过上相对正常的生活。

  Infectious uveitis is easier to treat because there is a clear pathogen to target; tuberculosis-related, syphilis-related, viral or parasitic uveitis often improve or cure with targeted treatment. Autoimmune types are not so easy to eradicate, but biologics can significantly reduce relapses. Studies show infectious cure rates can reach 70%, while non-infectious only 10–20%. Accept

  Whether it can be completely cured mainly depends on the cause. Infectious uveitis can usually be cured because you can treat the cause specifically; non-infectious (mostly autoimmune) is hard to eradicate, and the goal is long-term control. For example, bacterial causes may be treated with antibiotics, but Behçet’s disease or ankylosing spondylitis–related uveitis needs

  能不能彻底治愈主要看原因。感染性的通常能治好，因为可以对症下药；非感染性的（多数是自身免疫）难以根治，目标是长期控制。比如细菌引起的可能用抗生素就好，但白塞病或强直性脊柱炎引发的就需要长期免疫抑制。总体上大约20%的病例可能完全治愈，非感染性多数是长期管理。早诊断、早针对治疗，生活质量能恢复到不错的状态，只是需要持续监测。

  除了看不清，病还会带来眼痛、畏光和流泪，日常像看书、上课、运动或拍照这些小事都会被影响，心理上也可能出现焦虑或抑郁。研究显示约30%的患者有心理健康问题。加入病友群、做心理咨询、和朋友家人多聊，都能缓解这些影响。我曾因为怕别人看出不舒服而不愿去聚会，后来和心理老师聊了几次，慢慢才敢把感受说出来，发现并没有那么可怕。

  Besides blurred vision, the disease also causes eye pain, photophobia and tearing. Daily things like reading, attending class, exercising or taking photos can be affected, and mentally it can cause anxiety or depression. Studies show about 30% of patients have mental health problems. Joining patient groups, doing counseling, and talking more with friends and

  Uveitis has a high relapse rate, often triggered by infection, fatigue, stress or immune fluctuation. Data mention about 50% of people will have one or more relapses in the first two years, and many people need follow-up from months to years. Sometimes a simple cold can set it off. To reduce relapse besides taking

  葡萄膜炎复发率高，很多时候被感染、疲劳、压力或免疫波动触发。资料里提到约50%的人在头两年会复发一次以上，很多人需要几个月到几年不等的随访。有时候感冒一下就会拉响警报。要减少复发除了按药物治疗外，生活习惯也很重要：别熬夜、注意防感染、保持心情稳定。我自己在一次感冒后复发，那段时间学习和情绪都被影响，现在我更注重休息，不再把自己透支。

  Both eyes being involved is indeed more serious. Statistics show about 80% of patients will have significant vision decline, ranging from mild (for example from 1.0 down to 0.8) to very severe (down to below 0.2). Inflammation will damage the fine structure of the eye, like a camera covered in dust. Early intervention can

  两个眼睛都受累确实更严重，统计显示大约80%的患者会有明显视力下降，范围从轻微（比如从1.0降到0.8）到非常严重（降到0.2以下）。炎症会破坏眼睛精细结构，像一台相机被灰尘覆盖。早期干预能明显降低风险，这一点医生反复强调。**每次体检听到“炎症稳定”我都会松一口气，因为我曾多次看不清黑板的经历刻骨铭心。