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Year 2019

Volume: 5 , Issue: 3

Print ISSN:-2395-1443

Online ISSN:-2395-1451

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Indian Journal of Clinical and Experimental Ophthalmology


Prospective clinical study on visual outcome following uveitis


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Author Details: Raja Rengaraj, Thaialnayaki Vellaichamy

Volume : 2

Issue : 4

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 323

Article End Page : 326


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.
Aim 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.

Keywords:
Anterior uveitis, Idiopathic, Traumatic uveitis, Visual outcome