A STUDY ON UVEITIS, ITS AETIOLOGIES AND VISUAL OUTCOME IN TERTIARY HEALTHCARE CENTER IN NORTH CHENNAI
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 7
Abstract
BACKGROUND The authors investigated relative occurrence of uveitis and its causes, visual outcome in uveitis patients with the aim of better defining the visual morbidity and identifying potential risk factors. MATERIALS AND METHODS A cross sectional observational study conducted at ophthalmology OPD of Government Stanley medical college with 50 uveitis patients. Patients were examined, treated and followed during a period of 1 year. All underwent ocular examination and a set of laboratory investigations to arrive at a specific diagnosis. Uveitis was classified according to Anatomical location, Pathology and Aetiology. The final diagnosis was based on typical ocular and systemic symptoms and signs and on the result of specific laboratory reports. Final visual outcome after treatment was analysed. RESULTS In 50 patients, around 58 eyes were diagnosed as uveitis, 42 had unilateral and 8 had bilateral ocular disease. Among 58 eyes, 38 eyes (65.72%) had non-granulomatous and 20 eyes had granulomatous uveitis. Anterior Uveitis (67%) was the most frequent anatomical diagnosis. The underlying cause for uveitis was evaluated as non-infectious in 28 eyes (48.2%) and infectious in 26 eyes (44.8%) and 4 eyes as idiopathic (6.9%). A potential aetiology and a definitive clinical diagnosis was established in 93.1% cases. Tuberculous aetiology was the most common systemic disease diagnosed in 27.5%. On regular follow up nearly 23 eyes (39.4%) had good visual prognosis. Patients who had bilateral uveitis, granulomatous pathology, panuveitis had poor prognosis. CONCLUSION Uveitis is an ocular condition which if diagnosed and treated early according to its etiology with regular follow up has good visual recovery.
Authors and Affiliations
Thangerani Rajaseharan, Vaishnavi Jayavelu
Keywords
Related Articles
- EP ID EP454535
- DOI 10.18410/jebmh/2018/119
- Views 78
- Downloads 0
PRIMARY GIANT HYDATID DISEASE OF THE SPLEEN: A RARE CASE REPORT WITH REVIEW OF LITERATURE
The most common organ involved in hydatid disease is the liver, followed by the lungs. Hydatid disease of spleen is a rare clinical condition, as even in the endemic region the frequency is reported to be 0.5–4% of abdom...
STUDY OF EFFECTIVENESS OF TOPICAL TIMOLOL MALEATE IN THE MANAGEMENT OF SUPERFICIAL INFANTILE HAEMANGIOMA
BACKGROUND The aim of the study is to evaluate the effectiveness of topical 0.5% timolol maleate solution for superficial infantile haemangioma (IH). MATERIALS AND METHODS This prospective study was carried out over a pe...
COMPARISON OF INTRATHECALLY ADMINISTERED FENTANYL AND MIDAZOLAM IN COMBINATION WITH HYPERBARIC BUPIVACAINE
To evaluate and compare the efficacy of intrathecally administered midazolam and fentanyl in combination with hyperbaric bupivacaine with respect to, the time of onset, duration of sensory block, Quality of intraoperativ...
SPECTRUM OF CHRONIC VENOUS INSUFFICIENCY OF LOWER LIMBS- A KATURI PERSPECTIVE
BACKGROUND Varicose veins is a very common disease in Guntur District with many patients having agricultural background. This study was conducted at Katuri Medical College and Hospital on 88 patients with a diagnosis of...
COMPARATIVE STUDY OF MATERNAL AND PERINATAL OUTCOME IN EARLY ONSET AND LATE ONSET PREECLAMPSIA
BACKGROUND Preeclampsia is the leading cause of maternal and perinatal morbidity and mortality worldwide, the exact aetiology of which is still unknown. The concept of early and late pre-eclampsia depending on gestationa...