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Classification of Seasonal Hyperacute Panuveitis (SHAPU)
Ranju Kharel Sitaula1, Anadi Khatri2, Pratap Karki3
1Department of Ophthalmology, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, B. P. Koirala Lions Centre for Ophthalmic Studies, Kathmandu, Nepal.
Seasonal Hyperacute Panuveitis (SHAPU), a blinding eye condition, lacks a standard classification. This study proposes a new system to aid in managing this ocular emergency and prevent complications.
Area of Science:
- Ophthalmology
- Medical Classification Systems
Background:
- Seasonal Hyperacute Panuveitis (SHAPU) is a blinding ocular condition primarily reported in Nepal.
- Despite its 46-year history, SHAPU lacks a standardized classification system, hindering medical reporting and research.
- Effective management and prevention of complications are challenged by the absence of a formal classification.
Purpose of the Study:
- To propose a novel classification system for Seasonal Hyperacute Panuveitis (SHAPU).
- To contribute to the ophthalmic nosology by establishing a structured framework for SHAPU.
- To facilitate improved understanding and categorization of this rare blinding disease.
Main Methods:
- The proposed classification is based on the extensive experience and dedicated research of the investigative team.
- Leveraging prolonged clinical observation and in-depth study of SHAPU cases.
- Developing a system grounded in practical, long-term engagement with the condition.
Main Results:
- A new classification system for Seasonal Hyperacute Panuveitis (SHAPU) has been developed.
- The proposed system aims to standardize the description and understanding of SHAPU.
- This classification provides a foundation for future research and clinical guidelines.
Conclusions:
- The proposed SHAPU classification is expected to enhance the planning and evaluation of this ocular emergency.
- It will provide reliable information crucial for timely management and complication prevention.
- This system represents a significant step towards standardizing the approach to SHAPU in ophthalmology.
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The first classification is based on the development of the disease, and it includes the following categories:

