| Presentation preference | Oral presentation |
| Title | Uveitis in the Ube City Medical Region, Yamaguchi, Japan |
| Purpose | To conduct a comparative epidemiological survey of uveitis in a university hospital (UH), general hospital (GH), and private eye clinic (EC) setting and to clarify the resulting clinical picture of uveitis from the comparison. |
| Methods | A university hospital (UH), two (2) general hospitals (GH), and three (3) private eye clinics (EC) participated in the study. All newly identified cases of uveitis in these participating institutions, from January 2018 to December 2019, were surveyed retrospectively based on their medical records and the findings were then compared. |
| Results | There were a total of 151 UH patients (mean age 59.5±20.3 years), 51 GH patients (mean age 59.7±22.3 years), and 66 EC patients (mean age 56.1±20.4 years). The localization of uveitis for the three sets of patients/subjects from the three types of participating institutions, UH, GH, and EC, was as follows: anterior (47%, 71%, 70%), posterior (5%, 8%, 9%), and pan (48%, 21%, 21 %) respectively. Pan-uveitis associated with systemic diseases such as Vogt-Koyanagi-Harada disease and sarcoidosis was a major cause in the UH cases. In contrast, acute anterior uveitis and anterior uveitis, such as traumatic iritis, were prominent causes in the GH and EC cases. Treatment was ophthalmic eye drops only (59%, 66%, 82%), ocular topical injection (22%, 12%, 3%), and systemic treatment (16%, 8%, 7%) for UH, GH, and EC patients, respectively. The percentage of patients whose best visual acuity improved to 1.0 (logMAR=0) or better after treatment was 54%, 61%, and 74% for UH, GH, and EC patients, respectively. |
| Conclusion | This study has shown that both the types of and treatments for uveitis varied in the different settings of a University Hospital and some/several Community Hospitals in the same medical region of a city. The major type of uveitis in the only participating UH was pan-uveitis, which is associated with systemic diseases and requires systemic treatment. Relatively lesser pan-uveitis cases were reported in the GHs and ECs. The visual prognosis was better in ECs than at UH or GHs. |
| Conflict of interest | No |
| Last name | YANAI |
| Initials of first name(s) | R |
| Department | Yamaguchi University Hospital |
| City | Ube |
| Country | Japan |
| Last name | Uchi |
| Initials of first name(s) | S-H |
| Department | Yamaguchi University Hospital |
| City | Ube |
| Country | Japan |
| Last name | Kondo |
| Initials of first name(s) | Y |
| Department | Ube-kohsan Central Hospital |
| City | Ube |
| Country | Japan |
| Last name | Fujitsu |
| Initials of first name(s) | Y |
| Department | Fujitsu Eye Clinic |
| City | Ube |
| Country | Japan |
| Last name | Suzuki |
| Initials of first name(s) | K |
| Department | Suzuki Eye Clinic |
| City | Ube |
| Country | Japan |
| Last name | Yoshimura |
| Initials of first name(s) | K |
| Department | Ogori Daiichi General Hospital |
| City | Yamaguchi |
| Country | Japan |
| Last name | Kumagai |
| Initials of first name(s) | N |
| Department | Kumagai Eye Clinic |
| City | Ube |
| Country | Japan |