ISSN: 1300-0365
Dil: Türkçe
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ORIGINAL RESEARCH ARTICLES |
Eye Signs In Uveitis Except For Behcet's Disease
Dr. Mehmet ÇITIRIK,a Dr. Emel SOYKAN,a Dr. Tolga BİÇER,a Dr. Nilüfer BERKER,a Dr. Orhan ZİLELİOĞLUa
a2. Göz Kliniği, Ankara Ulucanlar Göz Eğitim ve Araştırma Hastanesi, ANKARA
Objective: To investigate the sexuality, average age, mean follow up period, mean frequency of uveitis and accompanying eye examination findings of cases that were diagnosed as uveitis retrospectively.
Material and Methods: From 1996 to the 2006, 62 patients with uveitis in SB Ankara Ulucanlar Eye Hospital Uvea Clinic were included in this study retrospectively. Cases diagnosed as Behçet’s disease were extracted from the study. A complete ophthalmological examination was evaluated including visual acuity, applanation tonometry, biomicroscobic examination findings and dilated examination of the posterior segment.
Results: 28 women (45.16%) and 34 men (54.83%) were available for follow up evaluation. The average age of men was 34.66 years (13-70 years). The average age of women was 42.03 years (16-66 years). Mean diagnosis time was 2.82 year (1-10 years). Mean follow up period was 2.81 years (1-10 years). Eighty-seven eyes of 62 patients were involved. Thirty-seven patients had unilateral, and 25 patients had bilateral involvement. Mean number of uveitis attack in 10 year follow-up period was 1.33 (1-5 attack). At the onset of the follow up, anterior uveitis, intermediate uveitis, posterior uveitis and panuveitis were determined in 43 (49.42%), 2 (2.29%), 33 (37.93%) and 9 (10.34%) of 70 eyes respectively.
Cataract in 32 eyes (36.78%), sequel keratic precipitates in 11 eyes (12.64%), posterior synechiae in 10 eyes (11.49%), posterior capsular opacification in 4 eyes (4.59%), and band keratopathy in 1 eye (1.14%) were found as anterior segment findings. Vitreous condensation in 20 eyes (22.98%), cystoid macular edema in 8 eyes (9.19%), retinal vein branch occlusion in 3 eyes (3.44%), optic atrophy in 2 eyes (2.29%) and chorioretinitis area in 2 eyes (2.29%) were found as posterior segment findings.
Juvenile rheumatoid arthritis in 3 cases (4.83%), ankylosing spondylitis in 2 cases (3.22%), herpetic keratouveitis in one case (1.61%), Harada's disease in 1 case (1.61%), and sarcoidosis in 1 case (1.61%) were detected as etiologic causes. No causes were found in 54 cases (87.09%) and these were evaluated as idiopathic group.
Conclusion: Idiopathic group was the biggest group as etiologic cause in uveitis except for Behçet's disease. Romatoid disease was the second group. Cataract was the most common anterior segment complication. Cystoid macular edema was the most common posterior segment complication. Anterior segment findings and posterior segment findings were observed in nearly equal rates in our study. Posterior segment inflammation was the most serious cause of visual loss.Keywords: Uveitis; anterior eye segmentTurkiye Klinikleri J Ophthalmol 2007, 16:92-97
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