Prospective clinical study on visual outcome following uveitis
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2016, Vol 2, Issue 4
Abstract
Introduction: Uveitis is one of the most common form of intraocular inflammation causing vision loss either directly or via complications such as cataract, glaucoma, macular edema and others. Aims and objectives: 1. To evaluate the etiology, clinical features, systemic associations and Severity of uveitis. 2. To analyse the visual outcome following uveitis. Materials and Methods: This is a prospective study which includes 80 patients with anterior uveitis of various etiologies presented to our department at Thanjavur medical college from July 2014 – September 2015. They were subjected to detailed clinical examination and relevant investigations. A proforma was drawn up and following details were recorded for each patient: age and sex, history related to trauma, surgery and specific systemic associations of uveitis, clinical examination of signs and symptoms of uveitis including general systemic examination. They were treated and reviewed according to the severity of uveitis and followed up for a period of three months. According to improvement / worsening of the disease activity they were further managed. Observation and Results: The ratio of uveitis in male to female is 1.66:1 with 96.25% unilateral and 3.75% bilateral presentation. With regard to etiology 17.5% had idiopathic, 8.75% infective, 47.50% traumatic, 5% lens induced and 21.25% postoperative uveitis. Vision loss accounted in 7.5% due to cataract, 6.25% due to macular edema and 10% due to glaucoma. Visual outcome improved in 91.25% of these patients. Blindness due to anterior uveitis is 1.25%. Conclusion: Uveitis continues to be the major cause of ocular morbidity. But patients get good final visual outcome with detailed clinical examination and initiation of proper management. Cases presented earlier even with severe uveitis had favourable response to treatment and good prognosis in visual outcome than those presented late with uveitic sequalae and with co-morbid risk factors irrespective of etiology.
Authors and Affiliations
Raja Rengaraj, Thaialnayaki Vellaichamy
Keywords
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