포도막염, 백내장 및 녹내장을 동반한 강직성 척추염

Abstract

The primary ocular complication of ankylosings spondylitis is an anterior uveitis, with estimations of its incidence ranging from 10% to 60%. Recently, a genetic marker, the histocompatibility antigen B27，has been found to occur with high frequency in this disease. And HLA-B27 genotype is probably a more important marker for this spondylitic-assᄋdated acute -iritis than is ankylosing spondylitis itself- Ankylosing spondylitis is mostly found in male and incidence of associated uveitis m male is higher than in female. The uveitis associated with ankylosing spondylitis is a mild to fairly severe nongranulomatous type involving the anterior segment almost exclusively. Rarely, cataract also complicated and glaucoma may result from trabecular damage and peripheral synechia formation. X-ray findings of ankylosing spondylitis is progressive bony fusion in sacroiliac joint, calcification and ossification of the intervertebral disks and adjacent ligaments giving rise to a bamboo-spine appearance. Authors have experienced and treated Marie-Strumpell ankylosing spondylitis with anterior uveitis, cataract and glaucoma.