本文报告1例严重类风湿性关节炎患者,并发视网膜血管炎。患者女性,51岁。1965年发现类风湿性关节炎,其后并发反复发作的巩膜炎。体检发现急性滑膜炎,淋巴结肿大,结节形成,感觉神经病变,巩膜炎与广泛性甲皱血管炎.眼科检查证实为干燥综合征及双侧活动性巩膜炎,左眼视网膜未见改变,右侧视网膜色素失调,后极尚有几处不规则分布的白色渗出物,右眼视力为6/18(6个月前检查为6/9,双侧视网膜正常)。实验宣检查类风湿因子效价为1/2,560,抗核因子效 This article reports a case of severe rheumatoid arthritis in patients with retinal vasculitis. Patient female, 51 years old. 1965 found that rheumatoid arthritis, followed by recurrent episodes of scleritis. Physical examination revealed acute synovitis, swollen lymph nodes, nodularity, sensory neuropathy, scleritis, and extensive nailfold vasculitis. Ophthalmic examination confirmed Sjogren’s syndrome and bilateral active scleritis with no change in the left eye retina , The right retinal pigment disorders, there are several irregular distribution of white exudate after the right eye vision was 6/18 (6 months ago, check 6/9, bilateral retinal normal). Experimental test check rheumatoid factor titer 1 / 2,560, anti-nuclear factor effect