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
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- EP ID EP454535
- DOI 10.18410/jebmh/2018/119
- Views 59
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