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Is Smoking a Risk Factor in Ocular Behçet Disease?
Ahmet Burak Bilgin1, Elif Betul Turkoglu1, Hatice Deniz Ilhan1
1a Akdeniz University, Faculty of Medicine, Department of Ophthalmology , Antalya , Turkey.
This study found that smoking does not negatively impact the prognosis or clinical outcomes of ocular Behçet disease. Smokers and non-smokers showed similar rates of uveitis recurrence and inflammation resolution.
Area of Science:
- Ophthalmology
- Rheumatology
- Clinical Medicine
Background:
- Behçet disease is a multisystem inflammatory disorder.
- Ocular involvement, particularly uveitis, significantly impacts patient prognosis.
- The role of smoking in the prognosis of Behçet uveitis remains unclear.
Purpose of the Study:
- To investigate the association between smoking and the prognosis of ocular Behçet disease.
- To compare clinical findings and outcomes in smokers versus non-smokers with Behçet uveitis.
Main Methods:
- Retrospective analysis of medical records from 202 patients with Behçet uveitis.
- Patients categorized into current smokers (n=72) and non-smokers (n=130).
- Comparison of uveitis localization, resolution time, recurrence rates, visual acuity, and cystoid macular edema (CME).
Main Results:
- No significant association found between smoking and the type of uveitis (anterior, posterior, panuveitis).
- Similar average times for inflammation resolution (48 vs. 51 days) and recurrence (8.6 vs. 9.1 months) between smokers and non-smokers.
- No statistically significant difference in the prevalence of cystoid macular edema (CME) between groups (25% vs. 32.3%, p=0.08).
Conclusions:
- Smoking does not appear to negatively influence the clinical course or prognosis of ocular Behçet disease.
- Findings suggest smoking status is not a significant prognostic factor for Behçet uveitis.
- Further research may elucidate complex interactions, but current data indicate no detrimental effect.
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