Non-infectious causes are often the immune system attacking the body itself, or metabolic problems leading to more reactive oxygen species, causing tissue damage. Genetic factors like HLA-B27 also make some types of uveitis more likely. The mechanisms of non-infectious types are more complex and often require immunosuppressants or biological agents for control. Knowing the […]
非感染性常常是免疫系统把自己的东西当敌人打，或者代谢问题让氧自由基多了，导致组织受损。遗传因素像HLA-B27也会让人更容易得某些类型的葡萄膜炎。非感染性的机制比较复杂，常常需要用免疫抑制剂或生物制剂来控制。 知道是“自己打自己”的病因，心里会有点沉——感觉身体里有人在打架，但这也让我学会和病共处，找对医生比什么都重要。
Infectious causes are many: tuberculosis, syphilis, herpes virus, fungi, parasites (like Toxoplasma) and even Lyme disease. Sometimes infection triggers an immune response in the body, and sometimes it is introduced by trauma. Doctors will do antibody tests, cultures and other checks to confirm which pathogen it is, and then use the corresponding drugs to
感染性原因可多了，有结核、梅毒、疱疹病毒、真菌、寄生虫（像弓形虫）甚至Lyme病。感染有时是体内问题引发的免疫反应，有时是外伤带进来的。医生会做抗体、培养等检查来确认是哪种病原体，然后用相应的药物对付它。越早找到病因，治好希望越大，这点很关键。
picture generated by AI The causes of this disease are roughly divided into two types: infectious and non-infectious. Infectious causes are pathogens like tuberculosis, syphilis, herpes that get into the eye; non-infectious causes are mostly immune system problems, such as autoimmune diseases or rheumatic diseases, or trauma, or genetics (like HLA-B27) can increase the risk.
picture generated by AI The causes of this disease are roughly divided into two types: infectious and non-infectious. Infectious causes are pathogens like tuberculosis, syphilis, herpes that get into the eye; non-infectious causes are mostly immune system problems, such as autoimmune diseases or rheumatic diseases, or trauma, or genetics (like HLA-B27) can increase the risk.
Picture from https://www.webmd.com/eye-health/ss/slideshow-uveitis Simply speaking, uveitis is inflammation of the middle layer of the eye called the “uvea.” The uvea includes the iris (like the gatekeeper of light), the ciliary body (helps the eye focus), and the choroid (supplies nutrients to the retina). After inflammation, it may also affect the retina and vitreous. Mild cases
Picture from https://www.webmd.com/eye-health/ss/slideshow-uveitis 葡萄膜炎简单说就是眼睛中间那层“葡萄膜”发炎了，葡萄膜包括虹膜（像光线的门卫）、睫状体（帮眼睛调焦）和脉络膜（给视网膜送养分）。发炎后可能会连着弄到视网膜和玻璃体，轻一点看东西模糊，重一点可能失明。医生常把它比成相机镜头进灰尘——一旦脏了，照片就拍不清。我刚被确诊那会儿根本不懂这些名词，医生说“眼内发炎”，我脑子里就是一个看不见的小火苗，我家人和我都特别紧张。
Hi, I’m a high school junior. I was diagnosed with uveitis in both eyes since I was 5. Among patients and some discussions, uveitis in both eyes is often called “‘undying cancer’”, and many people feel it is like a chronic disease that lasts a long time; indeed, there is currently no single drug that
嗨，我是高二的学生，从5岁起被诊断为双眼葡萄膜炎。在病友和一些讨论里，双眼葡萄膜炎常被有人称为“不死癌症”，很多人感到它像长期缠绕的慢性病；确实，目前尚无能保证对症根治的单一药物，很多情况下需要长期管理和定期随访。因为这些年跑医院、做检查、问医生和父母一起研究资料，我想把自己经历和感受讲出来，与大家一起分享。