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[Ophthalmological involvement in Behçet disease. Apropos of 520 cases]
M el Belhadji1, M Hamdani, N Laouissi
1Service d'Ophtalmologie, Hôpital du 20 Août, Casablanca, Maroc.
Purpose:
The aim of this paper is to compare our results with the literature and to discuss some therapeutical aspects of the disease.
Methods:
This retrospective study concerned 520 cases of Behçet's disease followed by internal diseases department and ophthalmology service of U.H.C. Averroes (Casablanca, Morocco) during 10 years.
Results:
There were 432 men (83%) and 88 women (17%). The mean age of the patients was 20 years. Ophthalmological involvements are found in 80%, bilateral in 60%. The disease occurred at the rate of 2 or 3 episodes a year in 5% of cases. Irreversible blindness was noted in 24.4% of cases, predominately panuveitis in 37% of cases, followed by anterior uveitis in 36.3% and retinal vasculitis in 37% of cases. Good results were obtained by a medical care with corticoids and chloraminophen in case of threatening blindness.
Conclusion:
Behçet's disease remains frequent in our country. It requires early diagnosis and steady ophthalmological surveillance in order to delay onset of blindness.