a Singapore National Eye Centre , Singapore Eye Research Institute , Singapore.
b Mediclinic Hospital , Colombo , Sri Lanka.
Ocul Immunol Inflamm. 2017;25(sup1):S63-S68. doi: 10.1080/09273948.2017.1313991. Epub 2017 May 24.
To describe the pattern of uveitis at a tertiary uveitis referral clinic in Sri Lanka.
Consecutive charts identified from a registry between January 2010 and December 2014 at the Mediclinic Hospital, Colombo were retrospectively reviewed.
Among 750 patients, anterior uveitis (AU) was the most common (285, 38%), followed by posterior uveitis (187, 25%), intermediate uveitis (150, 20%), and panuveitis (128, 17%). 485 (65%) were idiopathic. The top identified causes of AU were seronegative-spondyloarthropathy-related-AU (37, 13%), HLA-B27-related-AU without systemic associations (25, 9%), herpetic-AU (18, 6%), and trematode uveitis (8, 3%). The main posterior uveitis were toxoplasmosis (34, 18%), tuberculosis (21, 11%), and sarcoidosis (17, 9%). 78% of intermediate uveitis were idiopathic, with 12 (8%) tuberculosis, and 10 (7%) sarcoidosis. The most common panuveitis were sarcoidosis (18, 14%), tuberculosis (14, 11%), and Vogt-Koyanagi-Harada disease (10, 8%). Among children (≤12 years) accounting for 25 (3%) of cases, the most common presentations were idiopathic intermediate uveitis (7, 28%), idiopathic-AU (4, 16%), toxoplasmosis (4, 16%), trematode uveitis (3, 12%), and toxocariasis (2, 8%).
An infectious etiology must be considered in posterior uveitis and uveitis among children in the Sri Lankan population.
描述斯里兰卡一家三级葡萄膜炎转诊诊所的葡萄膜炎模式。
回顾性分析 2010 年 1 月至 2014 年 12 月在科伦坡 Mediclinic 医院登记的连续图表。
在 750 名患者中，前葡萄膜炎（AU）最常见（285 例，38%），其次是后葡萄膜炎（187 例，25%）、中间葡萄膜炎（150 例，20%）和全葡萄膜炎（128 例，17%）。485 例（65%）为特发性。AU 的主要病因包括血清阴性脊柱关节病相关性 AU（37 例，13%）、与全身疾病无关的 HLA-B27 相关性 AU（25 例，9%）、单纯疱疹性 AU（18 例，6%）和吸虫性 AU（8 例，3%）。主要的后葡萄膜炎病因包括弓形体病（34 例，18%）、结核病（21 例，11%）和结节病（17 例，9%）。78%的中间葡萄膜炎为特发性，12 例（8%）为结核病，10 例（7%）为结节病。最常见的全葡萄膜炎是结节病（18 例，14%）、结核病（14 例，11%）和 Vogt-Koyanagi-Harada 病（10 例，8%）。在占病例 25%（3%）的儿童中，最常见的表现为特发性中间葡萄膜炎（7 例，28%）、特发性 AU（4 例，16%）、弓形体病（4 例，16%）、吸虫性 AU（3 例，12%）和弓蛔虫病（2 例，8%）。
在斯里兰卡人群中，应考虑后葡萄膜炎和儿童葡萄膜炎的感染病因。
