Singh Ramandeep, Gupta Vishali, Gupta Amod
Department of Ophthalmology, Postgraduate Institute of Medical Eudcation and Research, Chandigarh, India.
Indian J Ophthalmol. 2004 Jun;52(2):121-5.
To report the pattern of uveitis in a north Indian tertiary eye center.
A retrospective study was done to identify the pattern of uveitis in a uveitis clinic population of a major referral center in north India from January 1996 to June 2001. A standard clinical protocol, the "naming and meshing" approach with tailored laboratory investigations, was used for the final diagnosis.
1233 patients were included in the study; 641 (51.98%) were males and 592 (48.01%) females ranging in age from 1.5 to 75 years. The anterior uveitis was seen in 607 patients (49.23%) followed by posterior uveitis (247 patients, 20.23 %), intermediate uveitis (198 patients, 16.06%) and panuveitis (181 patients, 14.68%). A specific diagnosis could be established in 602 patients (48.82%). The infective aetiology was seen in 179 patients, of which tuberculosis was the commonest cause in 125 patients followed by toxoplasmosis (21 patients, 11.7%). Non-infectious aetiology was seen in 423 patients, of which ankylosing spondylitis was the commonest cause in 80 patients followed by sepigionous choroidopathy (62 patients, 14.65%).
Tuberculosis and toxoplasmosis were the commonest form of infective uveitis, while ankylosing spondylitis and serpiginous choroidopathy were commonly seen as the non-infective causes of uveitis in North India.
报告印度北部一家三级眼科中心葡萄膜炎的发病模式。
进行一项回顾性研究,以确定1996年1月至2001年6月印度北部一家主要转诊中心葡萄膜炎门诊患者的发病模式。采用标准临床方案,即“命名与匹配”方法并结合针对性的实验室检查进行最终诊断。
1233例患者纳入研究;年龄在1.5至75岁之间,其中男性641例(51.98%),女性592例(48.01%)。607例患者(49.23%)患有前葡萄膜炎,其次是后葡萄膜炎(247例患者,20.23%)、中间葡萄膜炎(198例患者,16.06%)和全葡萄膜炎(181例患者,14.68%)。602例患者(48.82%)可明确具体诊断。179例患者存在感染性病因,其中结核病是最常见病因,有125例患者,其次是弓形虫病(21例患者,11.7%)。423例患者存在非感染性病因,其中强直性脊柱炎是最常见病因,有80例患者,其次是匐行性脉络膜病变(62例患者,14.65%)。
结核病和弓形虫病是感染性葡萄膜炎最常见的形式,而强直性脊柱炎和匐行性脉络膜病变是印度北部葡萄膜炎常见的非感染性病因。