Study of clinical and aetiological pattern of anterior uveitis in middle Karnataka

Madhavi, K.; Kumaraswamy, RC

doi:10.4103/2348-3334.153256

Cited by 9 publications

(7 citation statements)

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“…Frequent unilateral presentation in anterior uveitis and bilateral presentation in intermediate and panuveitis has been documented in many studies[ 3 4 25 ] and a similar pattern is noted in our study also. With regards to the anatomical location, studies across India have uniformly shown anterior uveitis to be the most common anatomical location encountered in clinical practice, following which either posterior or panuveitis has been noted.…”

Section: Discussionsupporting

confidence: 91%

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Pattern of uveitis from a tertiary eye care center in Himalayan belt of North India

Pandurangan

Samanta

Kumawat

et al. 2022

Indian Journal of Ophthalmology

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Purpose: To study the clinical characteristics of uveitis in patients presenting to a tertiary care institute in the northern part of India, predominantly serving the population of Himalayan belt. Methods: In this retrospective descriptive case series, data of 141 eyes of 102 patients diagnosed between January 2019 and January 2021 were analyzed. Patients were diagnosed, named, and meshed as per the Standardization of Uveitis Nomenclature. A panel of investigations (systemic and ocular ancillary investigations) were done, which was individualized according to the clinical picture. Results: The mean age of presentation was 39.1 ± 14.62 years. A male predominance (62.7%) was noted. Unilateral presentation was seen in 61.8% of patients. Specific etiological diagnosis was not reached in 56.7% of cases. The incidence of infectious and noninfectious uveitis was 23.4% and 19.9%, respectively. The frequency of anterior, intermediate, posterior, and panuveitis was 23.4%, 11.3%, 46.8%, and 18.5%, respectively. Posterior uveitis was the most frequent anatomical location (46.8%). Tuberculous uveitis was the most common definitive etiology irrespective of location (18.5%). Anterior, intermediate, and posterior uveitis were more frequently idiopathic in origin. Sympathetic ophthalmitis was the most common cause for panuveitis. Conclusion: Uveitis significantly affected the working age group population. Despite the evolution of diagnostic investigations, etiology remained unknown in many cases of uveitis. Infectious etiology was more common. Posterior uveitis as the most frequent anatomical location in our study may be attributed to the tertiary care referral bias.

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Section: Discussionsupporting

confidence: 91%

“…The frequency of diagnosis of Fuch’s heterochromic iridocyclitis ranged between 1% and 30%. [ 3 5 10 22 25 ] Fuch’s iridocyclitis accounted for 2.1% of uveitis cases in the present study. Sarcoidosis as a cause of uveitis has been considered a rarity in developing countries.…”

Section: Discussionmentioning

confidence: 51%

Pattern of uveitis from a tertiary eye care center in Himalayan belt of North India

Pandurangan

Samanta

Kumawat

et al. 2022

Indian Journal of Ophthalmology

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“…This was comparable to Sudha Madhavi et al from Karnataka reported about 75.6% acute uveitis and 17.8% of chronic uveitis. 13 Nongranulomatous inflammation was seen in majority of the cases and this is comparable with the previous studies. 8,12 Granulomatous type of inflammation (Graph 1) was seen in 4 patients diagnosed with pulmonary tuberculosis.…”

Section: Discussionsupporting

confidence: 91%

The clinical profile and aetiological pattern of anterior uveitis- A hospital based study

Tegginamatha¹,

Shanthaveerappa²,

Parappallil³

2020

IJCEO

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Uveitis is a group of complex inflammatory disorder of the uveal tract with diverse aetiology. The most common formis anterioruveitis affecting the iris and pars plicata of the ciliary body which can lead to severe vision threatening complications if not treated appropriately.Objectives: 1. To study the incidence, modes of presentation and etiological patternof anterior uveitis. 2. To evaluate the treatment, its outcome and the complications that could occur over the study period. Materials and Methods: A prospective cross sectional clinical study was conducted in the department of ophthalmology in 30 patients who were clinically diagnosed with anterior uveitis over a period of one year. All the patients underwent adetailed ophthalmic evaluation and relevant laboratory investigations. They were givenappropriate treatment according to the cause and the clinical clues and were also followed up for anycomplication during the study period. Results: Anterior uveitis occurred most commonly in the 41 to 50 years age group. Majority of the cases had nongranulomatous inflammation (86%) but aetiology remained unknown in 30% of the cases. Herpetic infection (16%) was the commonest cause followed by phacolyticuveitis and tuberculosis. Most cases responded favourably to medical management. Conclusion: A balanced view of the disease needs to be taken while investigating and treating anterior uveitis. A thorough history and physical examination is required in each case to facilitate a final diagnosis. A timely diagnosis and appropriate treatment however can improve visual outcome.

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“…9 The study conducted by Das D et al 10 at Guwahati, Assam; maximum patients (69.6%) were in the age group of 20-29 years. In the study conducted by Madhavi KM et al, 11 maximum patients (64%) were seen in the age group of 20-40 years. Above studies taking into comparison we concluded maximum number of patients were in between 2 nd to 4 t h decades.…”

Section: Discussionmentioning

confidence: 88%

“…We recorded similar results and Male preponderance among study population. Madhavi KM et al 11 studymajority of patients 89.66% presented with uniocular involvement while, 10.34% patients presented with bilateral involvement. Similar findings were recorded in our study.…”

Section: Discussionmentioning

confidence: 93%

Clinical profile and associated risk factors of uveitis in patients attending tertiary care hospital

Patel¹,

Gupta²,

Patel³

2021

IJCEO

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To study clinical profile of uveitis in tertiary care centre. Materials and Methods: In a cross-sectional study, total of 66 patients were identified as having uveitis visiting tertiary care centre. The diagnosis of uveitis and associated systemic diseases was based on a detailed clinical history, ophthalmological examination, general physical examination, and available laboratory tests. The patients were classified according to the standardization of uveitis nomenclature (SUN) working group. All patients were offered treatment as per possible investigation reports or through clinical work up. Results: Out of sixty-six patients M: F ratio was 1.87; unilateral 62.12%; bilateral 37.87%. Minimum age among study population was 18, while maximum age among study population was 72. Most cases of uveitis recorded in 25-44 years age group (51.51%). Specific diagnosis could be made in 26 (39.39%) patients. Anterior uveitis was the most common variant (n = 43 [65.15%]), followed by posterior (n = 12 [18.18%]), intermediate uveitis (n = 8 [12.12%]), and panuveitis (n=3 [4.54%]). 29 (43.93%) patients had acute, 23 (34.84%) had chronic, 13 (19.69%) had recurrent course of disease and 1 (1.51%) patients had quiescent phase of disease on presentation. Conclusion: We found specific etiology in one third of patients with the help of investigations. Despite of much efforts to identify the cause of uveitis, majority of the cases remained idiopathic or undiagnosed. However, the prompt clinical diagnosis and early initiation of appropriate treatment could achieve good response. Majority of patients in our study received topical corticosteroids.

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Study of clinical and aetiological pattern of anterior uveitis in middle Karnataka

Cited by 9 publications

References 1 publication

Pattern of uveitis from a tertiary eye care center in Himalayan belt of North India

Pattern of uveitis from a tertiary eye care center in Himalayan belt of North India

The clinical profile and aetiological pattern of anterior uveitis- A hospital based study

Clinical profile and associated risk factors of uveitis in patients attending tertiary care hospital

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