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A Clinical Audit on the Predictors for Visual Morbidity in Patients with Behçet's Disease Attending Cairo University
Riham S H M Allam1, Basma M Medhat2
1Department of Ophthalmology, Faculty of Medicine, Kasr Al Ainy School of Medicine, Cairo University , Cairo, Egypt.
Objectives:
To study the visual disability predictors in Behçet's disease (BD).
Methods:
A cross-sectional observational study including 54 patients. Sociodemographic and cumulative clinical characteristics were obtained. Ophthalmic examination focused on disease activity and degree of visual loss.
Results:
Presenting features included oral ulcers, orogenital ulcers, uveitis, and vascular involvement. Ocular involvement was also present in a majority of the cases 74.1%. The age at onset had no significant effect on diagnostic time lag (P = .9), unlike rural residency (P = .02). Laterality, ocular activity, and interventions significantly affected final visual acuity (P˂0.001). A diagnostic time lag ≥ 9 months significantly affected final visual acuity (P = .039).
Conclusion:
BD is associated with considerable vision loss at a young age. Panuveitis, bilaterality, ocular activity, and interventions are significant predictors. A diagnostic time lag ≥ 9 months is associated with poor visual outcomes and is significantly associated with rural residency.
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