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Patterns of Uveitis in a University-based Tertiary Referral Center in Riyadh, Saudi Arabia
Huda Al Dhahri1, Khalid Al Rubaie1, Suhail Hemachandran1
1a Department of Ophthalmology , College of Medicine, King Saud University , Riyadh , Saudi Arabia.
Ocular Immunology and Inflammation
|July 25, 2014
Summary
This study on uveitis in Saudi Arabia found panuveitis to be most common. Vogt-Koyanagi-Harada disease, presumed tuberculous uveitis, and Behçet disease were frequent diagnoses.
Area of Science:
- Ophthalmology
- Immunology
- Public Health
Background:
- Uveitis is a significant cause of vision loss globally.
- Understanding referral patterns and common diagnoses is crucial for effective management.
Purpose of the Study:
- To investigate uveitis referral patterns and diagnoses at a tertiary center in Riyadh, Saudi Arabia.
- To identify the most common types and specific etiological causes of uveitis in this population.
Main Methods:
- Retrospective review of medical records for 642 patients (1220 eyes).
- Analysis of demographic data, uveitis classification (anterior, intermediate, posterior, panuveitis), and specific diagnoses.
- Evaluation of visual acuity outcomes after a mean follow-up of 31.3 months.
Main Results:
- Panuveitis (47.1%) was the most common anatomic type, followed by anterior uveitis (36.8%).
- Non-infectious (69.3%) and nongranulomatous (85.2%) uveitis predominated.
- Vogt-Koyanagi-Harada (VKH) disease (19.6%), presumed tuberculous uveitis (PTU) (17.8%), Behçet disease (BD) (8.4%), and toxoplasmosis (6.9%) were the most frequent specific diagnoses.
- 73.5% of eyes achieved a visual acuity of 20/40 or better post-treatment.
Conclusions:
- Panuveitis is the most frequent presentation of uveitis in this Saudi Arabian cohort.
- VKH disease, PTU, BD, and toxoplasmosis are key diagnoses requiring attention in uveitis management in the region.