Department of eyeSmart EMR & AEye, L. V. Prasad Eye Institute; Indian Health Outcomes, Public Health, and Economics Research Center, L. V. Prasad Eye Institute, Hyderabad, Telangana, India.
Cataract and Refractive Services, The Cornea Institute, L. V. Prasad Eye Institute, Hyderabad, Telangana, India.
Indian J Ophthalmol. 2022 Sep;70(9):3266-3271. doi: 10.4103/ijo.IJO_335_22.
To describe the demographics and clinical profile of ophthalmia nodosa in patients presenting to a multitier ophthalmology hospital network in India.
This cross-sectional, hospital-based study included 3,082,727 new patients presenting between August 2010 and December 2021. Patients with a clinical diagnosis of ophthalmia nodosa in at least one eye were included as cases. The data were collected using an electronic medical record system.
Overall, 434 (0.014%) patients were diagnosed with ophthalmia nodosa. Most of the patients were male (71.43%) and had unilateral (97.7%) affliction. The most common age group at presentation was during the third decade of life with 116 (26.73%) patients. The overall prevalence was higher in patients from a higher socioeconomic status (0.015%) presenting from the urban geography (0.019%) and in professionals (0.027%). The setae were identified and removed at presentation in 287 (66.13%) patients. The most common location of the setae was conjunctiva (45.72%) followed by cornea (39.64%). Most of the eyes (355; 79.95%) had mild or no visual impairment (<20/70). The most documented ocular signs were eye lid edema (35.81%), conjunctival congestion (73.87%), and corneal abrasion (29.05%). Less than one-tenth of the eyes required a surgical intervention for removal of the setae, corneal foreign body removal was performed in 10 (2.25%) eyes and conjunctival foreign body removal in four (0.90%) eyes.
Ophthalmia nodosa more commonly affects males presenting during the third decade of life and is predominantly unilateral. The setae are most commonly lodged in the conjunctiva followed by the cornea, and the majority of the eyes have mild or no visual impairment.
描述在印度一家多层次眼科医院网络就诊的眼类天疱疮患者的人口统计学和临床特征。
这是一项横断面、基于医院的研究，纳入了 2010 年 8 月至 2021 年 12 月期间的 3082727 名新就诊患者。至少一只眼有临床诊断为眼类天疱疮的患者被纳入病例。数据使用电子病历系统收集。
共有 434 名（0.014%）患者被诊断为眼类天疱疮。大多数患者为男性（71.43%），单侧受累（97.7%）。就诊时最常见的年龄组为 30 岁出头，有 116 名（26.73%）患者。社会经济地位较高（0.015%）、来自城市地区（0.019%）和专业人员（0.027%）的患者总体患病率较高。在 287 名（66.13%）患者中，就诊时发现并去除了睫毛。睫毛最常见的位置是结膜（45.72%），其次是角膜（39.64%）。大多数眼睛（355 只；79.95%）视力轻度或不受影响（<20/70）。记录最多的眼部体征是眼睑水肿（35.81%）、结膜充血（73.87%）和角膜擦伤（29.05%）。不到十分之一的眼睛需要手术干预去除睫毛，10 只（2.25%）眼睛行角膜异物取出术，4 只（0.90%）眼睛行结膜异物取出术。
眼类天疱疮更常影响 30 多岁的男性，主要为单侧。睫毛最常见于结膜，其次是角膜，大多数眼睛视力轻度或不受影响。
