Pattern of uveitis in North East India: A tertiary eye care center study

Das, Dipankar; Bhattacharjee, Harsha; Bhattacharyya, Pankaj; Jain, Lokesh; Panicker, MJ; Das, Kalyan Kumar; Deka, Anil

doi:10.4103/0301-4738.45506

Cited by 80 publications

(67 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…29 In posterior uveitis, ocular toxoplasmosis was the commonest etiological cause (26.1%) which is similar to reports by Biswas et al, Rathinam el al, Das et al and Talin et al 1,23,28,29 In the intermediate uveitis group, the etiology was idiopathic pars planitis in 83% and a specific diagnosis was made in the remaining 4 cases of which tuberculosis was the primary cause.…”

Section: 14-18supporting

confidence: 77%

Systemic association of uveitis in Nepalese population

Shrestha¹,

Shah²

2017

J Chitwan Med Coll

View full text Add to dashboard Cite

Background: Infectious diseases are very common in Nepal and almost all infections are capable of causing uveitis. Parasitic infestations affect large number of Nepalese population and any parasitic infestation can potentially lead to development of uveitis. Local and systemic viral infections, immunological disorder like autoimmune diseases and malignancies can lead to uveitis. All these emphasize the necessity of proper systemic evaluation and investigation to identify the underlying systemic illness causing uveitis in order to see the pattern of systemic illness and determine the commonest associated systemic disease with uveitis. Methods: A prospective study was conducted at BP Koirala Lions Centre for Ophthalmic Studies from November 2008 to April 2010. All the patients underwent a standard diagnostic protocol when indicated by special tests and procedures performed in order of likelihood. Results: A total of 308 patients with uveitis was seen during the study period. For 146 (47.4%) patients, a specific diagnosis was established based on history, ocular examination and laboratory investigations. A definite association with systemic disease was determined for 82 (26.6%) patients. A well established clinical uveitis entity without a recognizable systemic disorder was present in 64 (20.8%) cases. A diagnosis could not be established in 162 (52.6%) cases. Toxoplasmosis was found to be most frequently associated with uveitis accounting for 5.8 % of the total cases followed by tuberculosis (3.6%), herpes infections (3%), ankylosing spondylitis (2.9%), leprosy (2.3%), sarcoidosis (1.6%) and parasitic infestations (1.3%). Conclusion: The importance of relevant systemic work up in uveitis cases in our set up has been reemphasized by the present study.

show abstract

Section: 14-18supporting

confidence: 77%

Systemic association of uveitis in Nepalese population

Shrestha¹,

Shah²

2017

J Chitwan Med Coll

View full text Add to dashboard Cite

show abstract

“…Various epidemiological studies are available from different regions of the world [3,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Few reports are also available from different regions of our country as well [25][26][27][28][29][30]. A recent metanalysis also concludes that there is limited information available regarding the epidemiology of uveitis [31].…”

Section: Introductionmentioning

confidence: 96%

Patterns of uveitis at the Apex Institute for Eye Care in India: Results from a prospectively enrolled patient data base (2011–2013)

et al. 2015

View full text Add to dashboard Cite

The purpose of the study was to identify the clinical and etiological profile of uveitis at the apex institute for eye care in India. This is a prospective, prevalence study. 980 consecutive patients with uveitis referred to uvea clinic, Dr. RP Centre for Ophthalmic Sciences (Ophthalmology division, All India Institute of Medical Sciences). Demographic data of each patient were noted and a thorough ocular examination including slit lamp examination and dilated fundus evaluation was carried out. OCT and fluorescein angiography were undertaken whenever indicated. Uveitis was classified based on the anatomic location of inflammation (IUSG classification). Relevant serological and radiological investigations were obtained based on systemic symptomatology, and if the uveitis was recurrent (even in the absence of systemic symptoms). The presence of a systemic disease was confirmed by obtaining an internist consultation. The main outcome measures include pattern of uveitis according to anatomical classification and the etiology. Out of 980 patients with uveitis, 413 (42.14 %) patients had anterior uveitis, 131 (13.36 %) had intermediate uveitis, 165 (16.83 %) had posterior uveitis, 91 (9.2 %) had panuveitis, 47 (4.7 %) had retinal vasculitis, 22 (2.24 %) had scleritis, 17 (1.7 %) had masquerade syndromes, 8 (0.8 %) had keratouveitis, 22 (2.24 %) had sclerokeratouveitis, 19 (1.9 %) had endophthalmitis and 45 (4.5 %) had other causes of inflammation including trauma and intraocular surgery. Out of all uveitic patients definite etiological correlation could be made out in 225 (23 %) patients; thus 77 % were categorised as idiopathic. Only 9 % of all patients were found to have uveitis with an infectious etiology. Amongst infectious causes of uveitis tuberculosis was the leading cause, accounting for sixty percent of all infectious uveitis (approximately 5 % of overall uveitis). Non-infectious uveitis etiology accounted for more than 90 % of all cases with ankylosing spondylitis being the most common followed by sarcoidosis and juvenile rheumatoid arthritis. Amongst known uveitic syndromes serpiginous like choroidopathy was the most common and was followed by acute posterior placoid pigmented epitheliopathy and Fuch's heterochromic iridocyclitis. Infection, including tuberculosis, is an infrequent cause of uveitis in the study population. Multicentric, collaborative efforts are required to improve levels of clinical evidence and evolve consensus in establishing stringent guidelines for labelling uveitis as being of infectious etiology.

show abstract

“…Occasionally, it may be difficult to distinguish SO from another uveitic condition called VKH [5]. This condition is also known as uveomeningoencephalitic syndrome.…”

Section: Discussionmentioning

confidence: 99%

A case of Vogt-Koyanagi-Harada disease mimicking sympathetic ophthalmia

2015

J Coast Life Med

View full text Add to dashboard Cite

Pattern of uveitis in North East India: A tertiary eye care center study

Cited by 80 publications

References 7 publications

Systemic association of uveitis in Nepalese population

Systemic association of uveitis in Nepalese population

Patterns of uveitis at the Apex Institute for Eye Care in India: Results from a prospectively enrolled patient data base (2011–2013)

A case of Vogt-Koyanagi-Harada disease mimicking sympathetic ophthalmia

Contact Info

Product

Resources

About