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Uveitis referral pattern in a Midwest University Eye Center
Sema Oruc1, Ariane D Kaplan, Michelle Galen
1Department of Ophthalmology, Adnan Menderes University, Aydin, Turkey.
Ocular Immunology and Inflammation
|January 6, 2004
Summary
This study analyzed uveitis patient referrals and visual outcomes at a Midwest university eye center. Posterior uveitis was most common, often presenting suddenly and resolving within three months.
Area of Science:
- Ophthalmology
- Immunology
- Retinal Diseases
Background:
- Uveitis, inflammation of the uvea, presents diverse clinical manifestations.
- Understanding referral patterns and visual prognosis is crucial for managing uveitis patients.
- Tertiary eye centers manage a wide spectrum of complex uveitic conditions.
Purpose of the Study:
- To determine the referral patterns and visual prognosis of uveitis patients.
- To analyze the demographic, anatomic, and etiologic diagnoses of uveitis cases.
- To characterize the duration and onset of uveitis presentations.
Main Methods:
- Retrospective chart review of 853 uveitis patients.
- Data collected from 1990-1995 at Washington University and Barnes Retina Institute.
- Analysis included demographics, uveitis patterns, and best-corrected visual acuity.
Main Results:
- Most patients were Caucasian, from Missouri, with equal gender distribution.
- Posterior uveitis (48.4%) was the most frequent anatomic diagnosis.
- Common etiologies included cytomegalovirus (CMV) retinopathy, infectious endophthalmitis, and toxoplasmosis.
Conclusions:
- A broad range of uveitic diseases are treated at Midwest university eye centers.
- Sudden-onset, short-duration uveitis (<3 months) is common.
- High rates of posterior uveitis may correlate with emerging entities like multifocal choroiditis.