دورية أكاديمية
The Spectrum of Presumed Tubercular Uveitis in a Referral Eye Clinic in Qatar.
| العنوان: | The Spectrum of Presumed Tubercular Uveitis in a Referral Eye Clinic in Qatar. |
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| المؤلفون: | Helal RS; Department of Ophthalmology, Hamad Medical Corporation, Doha, Qatar., Attia S; Department of Ophthalmology, Hamad Medical Corporation, Doha, Qatar.; Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia., Al-Baker ZM; Department of Ophthalmology, Hamad Medical Corporation, Doha, Qatar., Al-Shweiki S; Department of Ophthalmology, Hamad Medical Corporation, Doha, Qatar., Abu Sbeit R; Department of Ophthalmology, Hamad Medical Corporation, Doha, Qatar., Abukhattab M; Center of Communicable Diseases, Hamad Medical Corporation, Doha, Qatar., Abdulla N; Department of Rheumatology, Hamad Medical Corporation, Doha, Qatar., Khairallah M; Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia. |
| المصدر: | Ocular immunology and inflammation [Ocul Immunol Inflamm] 2024 Jul 09, pp. 1-8. Date of Electronic Publication: 2024 Jul 09. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9312169 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-5078 (Electronic) Linking ISSN: 09273948 NLM ISO Abbreviation: Ocul Immunol Inflamm Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Buren, The Netherlands : Aeolus Press, c1993- |
| مستخلص: | Purpose: To analyze the clinical spectrum of patients with presumed tubercular uveitis in a referral eye clinic in Qatar. Methods: We retrospectively reviewed the clinical records of 50 patients (80 eyes) diagnosed with presumed ocular tuberculosis who presented to the uveitis clinic, department of Ophthalmology Hamad Medical Corporation, Qatar, from January 2014 till December 2019. Results: Mean age at presentation was 34.5 ± 9.3 years. Forty one patients were males (82%) and 30 patients had bilateral involvement (60%). Forty eyes (50%) had posterior uveitis, 21 eyes (26.3%) intermediate uveitis, 11 eyes (13.7%) panuveitis, and 8 eyes (10%) anterior uveitis. Ocular findings included vitritis in 82.5% of eyes, retinal vasculitis in 46.3% (92% of which were occlusive in nature), multifocal choroiditis in 18.8%, serpiginous-like choroiditis in 11.3%, Most common complications at presentation or during follow-up included macular edema in 32 eyes (40%), preretinal or optic disc neovascularization in 29 eyes (36.3%) and vitreous hemorrhage in 17 eyes (21.3%). Anti-tubercular treatment was provided to 46 patients (92%). Systemic corticosteroids and corticosteroid sparing agents were associated, respectively, in 39 patients (78%) and 14 patients (28%). After 1 year of follow up, inflammation was controlled, with a significant improvement in visual acuity ( p < 0.0001). Conclusions: In Qatar, tubercular uveitis has a broad spectrum of ocular features, with posterior and intermediate uveitis being the most common anatomic forms. Vitritis, multifocal choroiditis without or with a serpiginous-like pattern, and occlusive retinal vasculitis are the most common ocular findings. Main sight-threatening ocular complications are macular edema, posterior segment neovascularization, and vitreous hemorrhage. |
| فهرسة مساهمة: | Keywords: Choroiditis; interferon-gamma release assay; posterior uveitis; retinal vasculitis; tubercular uveitis |
| تواريخ الأحداث: | Date Created: 20240709 Latest Revision: 20240709 |
| رمز التحديث: | 20240710 |
| DOI: | 10.1080/09273948.2024.2368668 |
| PMID: | 38981050 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1744-5078 |
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| DOI: | 10.1080/09273948.2024.2368668 |