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TitlePatterns of Uveitis in a Tertiary Referral Center in Indonesia: A Retrospective Study
PurposeUp to 1/4 of blindness might be caused by uveitis, especially in developing countries due to infectious etiology.Recognizing uveitis clinical patterns is essential to establish an etiological diagnosis, which varies between regions.This knowledge will help a physician to provide timely management.We aimed to update the epidemiological, clinical, and laboratory characteristics among uveitis patients referred to tertiary referral center in Indonesia.
MethodsA retrospective descriptive study using medical records data of 299 patients with uveitis in 2 years.
ResultsOf 299 patients, 50.8% were men with median age of 36.Most cases were unilateral with most frequent anatomic entity was panuveitis (53.2%).Infectious etiology was still common, mainly due to toxoplasmosis (32.1%) and tuberculosis (19.7%).Serological test IgG Toxoplasma and CMV were predominantly reactive in tested patients despite various final diagnoses.On presentation, 35% were categorized as blind, and ultimately 60% of them were without improvement.Complications were found in 55% patients, including cataracts (44%) and glaucoma (10%), overall contributing to 66% of blindness in our series.
ConclusionPanuveitis and infectious etiology (toxoplasmosis and tuberculosis) were the most common uveitis.They were better distinguished by clinical pattern instead of laboratory results.Knowledge of uveitis pattern in each region, especially clinical features, can help physicians diagnose before performing expensive ancillary tests.Ocular complications were related to severe visual function; thus, well-timed referral in severe cases is essential.
Conflict of interestNo
Authors 1
Last nameANISSA
Initials of first name(s)GH
DepartmentOphthalmology
CityJakarta
CountryIndonesia
Authors 2
Last nameLA DISTIA NORA
Initials of first name(s)R
DepartmentOphthalmology
CityJakarta
CountryIndonesia
Authors 3
Last nameSitompul
Initials of first name(s)R
DepartmentOphthalmology
CityJakarta
CountryIndonesia