Abstract
Purpose: The aim of this study is analyze the Etiology of the Uveitis diagnosed in the first three years of a Uveitis unit in a small hospital and share the experience and organization of a collaborative Rheumatology-Ophthalmology Uveitis Unit. Methods: This study includes 136 patients with Uveitis. Results: The most common form of Uveitis was anterior Uveitis (67.2%) and the most common diagnoses were Ankylosing spondylitis (17.8%), Herpes (14.3%), HLA-B27+ (9.5%), Fuchs Heterochromic Iridocyclitis (3.5%). Posterior Uveitis were 16.8% and the most common diagnoses were toxoplasmosis (42.9%), Serpiginous choroidopathy (23.8%), Tuberculosis (4.8%) and Vogt Koyanagi Harada disease (4.8%). Panuveitis was diagnosed in 8.8% of the cases and the most frequent causes were Behcet's disease (18.8%), Endophthalmitis (9%), and Toxoplasmosis (9%). Intermediate Uveitis with 7.2% of the diagnoses, the most frequent were Sarcoidosis (11%), syphilis (11%), and multiple sclerosis (11%). Conclusion: This secondary center based study shows the difference in type of Uveitis and etiology in a secondary hospital from a tertiary one.
Highlights
Uveitis is an intraocular inflammation that can be associated with systemic diseases, such as infectious, inflammatory and autoimmune diseases.Uveitis is one of the most common causes of blindness, it accounts for 5-20% of all cases of legal blindness and 10% of all severe visual disabilities are due to Uveitis in the developed world [1].Many patients require systemic treatment, in addition to topical treatment, with a high potential for side effects, both ocular and systemic
Panuveitis was diagnosed in 8.8% of the cases and the most frequent causes were Behçet's disease (18.8%), Endophthalmitis (9%), and Toxoplasmosis (9%)
All of these features justify a multidisciplinary approach for Uveitis, so in the recent times it has been advocated the creation of Uveitis Units composed of ophthalmologist and Rheumatologist or Internist, who working together can reach a better success rate in diagnosis and treatment in Uveitis patients [2]
Summary
Uveitis is an intraocular inflammation that can be associated with systemic diseases, such as infectious, inflammatory and autoimmune diseases. Many patients require systemic treatment, in addition to topical treatment, with a high potential for side effects, both ocular and systemic. All of these features justify a multidisciplinary approach for Uveitis, so in the recent times it has been advocated the creation of Uveitis Units composed of ophthalmologist and Rheumatologist or Internist, who working together can reach a better success rate in diagnosis and treatment in Uveitis patients [2]. The objectives of this study are sharing our experience and providing the results after 3 years working together in a Uveitis Unit
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