Pattern of uveitis in a referral uveitis clinic in India

Abstract

This report describes a retrospective study of all new patients in our uveitis clinic between January 1992 and December 1994, undertaken to identify the pattern of uveitis in the Indian subcontinent. A standard clinical protocol, and the naming-meshing system with tailored laboratory investigations were used to arrive at a final uveitic diagnosis. Uveitis comprised 1.5% of new cases seen at the centre. Out of 1273 uveitis cases, anterior uveitis was the most common type (39.28%), followed by posterior uveitis (28.75%), intermediate uveitis (17.44%), and panuveitis (14.53 %). The most commonly affected age group were patients in their forties (23.57%). Uveitis was less common in children below 10 years (3.61%) and in adults over 60 years of age (6.44%). Men (62.21%) were more commonly affected than women (37.79%). Aetiology remained undetermined in 59.31% of cases. Anterior uveitis was most commonly idiopathic (58.6%). The most common cause of posterior uveitis was toxoplasmosis (27.87%), and that of panuveitis was the Vogt-Koyanagi-Harada syndrome (21.08%). A higher incidence of microbiologically proven tubercular uveitis (5 cases), and uveitis due to live intraocular nematode (4 cases), and malaria (1 case), were seen, in contrast to other studies. Only 2 cases of AIDS with ocular lesions were seen. This paper reveals the pattern of uveitis seen at a major referral eye institute in India.

Pattern of uveitis in a referral centre in Tunisia, North Africa

“…However, the mean age at presentation in our study (34 years) appeared to be younger than that found in most previous reports (approximately 40 years). 9,12,14,15 The rate of children in our uveitis population (10%) was slightly higher than most estimates from previous studies. [30][31][32] Data from referral centres revealed that anterior uveitis was the most common form of uveitis (27.8-63%), followed by posterior (9.3-38%) or panuveitis (7-38%), and intermediate uveitis (4-17%).…”

“…14,15 However, these two declined infectious diseases are now re-emerging worldwide, particularly because of an increase in the human immunodeficiency virus-infected population. 15 Five patients in our study (1.1%) had posterior uveitis attributed to Mediterranean spotted fever, an infectious disease endemic in Mediterranean countries that is caused by R. conorii infection.…”

“…Numerous studies on pattern of uveitis in various geographic regions from Western countries and Asia have been published, showing similarities and distinct differences in epidemiologic profiles and aetiologies of uveitis. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] Data on uveitis from Africa are scarce, 23,24 and there is a lack of studies from the North African region.…”

Systemic association of uveitis in Nepalese population

“…Patients were classified according to the current International Uveitis Study Group (IUSG); classification based on the localization of intraocular inflammation. 1 Ancillary tests included B scan ultrasound, fundus fluorescein angiography in selected cases and tailored laboratory investigations in each case. Standard diagnostic criteria were employed for all syndromes or entities of uveitis.…”

“…Findings from our study is consistent with those from previous reports. 1,[19][20][21] This shows that majority of patients are students and of working age and so the condition may cause potentially serious economic consequences with many days off work as well as interfere with education.…”