埃及一家三级儿科眼科医院小儿葡萄膜炎的病因

Etiology of Pediatric Uveitis in a Tertiary Pediatric Eye Hospital in Egypt.

作者信息

Abd El Latif Eiman, Mousa Rasha, Tawfeeq Mahdi Mohammed, Mahmoud Amin Ahmed, Mohammed Ahmed Ali Mahmoud, Abdelhamid Nour Eldin, Elmoddather Mohamed, Shamselden Yousef Hassan, Hafez Ehab Hafez Gouda, Salem Sameh Galal Taher, Soliman Ashraf Hassan

机构信息

Department of Ophthalmology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Department of Ophthalmology, Memorial Institute for Ophthalmic Research (MIOR), Giza, Egypt.

出版信息

Ocul Immunol Inflamm. 2023 Dec;31(10):1978-1983. doi: 10.1080/09273948.2022.2117201. Epub 2022 Sep 12.

DOI:10.1080/09273948.2022.2117201

PMID:36094930

Abstract

PURPOSE

To report the causes of childhood-onset uveitis in a tertiary pediatric ophthalmology hospital in Egypt.

METHODS

Retrospective study of the medical records of all uveitis patients following up at a tertiary pediatric ophthalmology hospital in Egypt from January 2017 to December 2020.

RESULTS

The present study included 388 patients. The most common anatomical category was intermediate uveitis (30.4%), and around half of these children had pars planitis. This was followed by panuveitis (25.5%), posterior uveitis (23.5%), and anterior uveitis (20.6%), in decreasing frequency. Juvenile idiopathic arthritis, toxoplasmosis, and Vogt-Koyanagi-Harada syndrome were the most common causes of anterior uveitis, posterior uveitis, and panuveitis respectively. Cataract (40.5%), glaucoma (33.8%), and cystoid macular edema (31.6%) were the most frequent ocular complications.

CONCLUSION

The present report provides the relative prevalence of the different anatomical types of uveitis, as well as their main causes in a cohort of Egyptian patients with childhood-onset uveitis.

摘要

目的

报告埃及一家三级儿科眼科医院儿童葡萄膜炎的病因。

方法

对2017年1月至2020年12月在埃及一家三级儿科眼科医院随访的所有葡萄膜炎患者的病历进行回顾性研究。

结果

本研究纳入388例患者。最常见的解剖学类型是中间葡萄膜炎（30.4%），其中约一半儿童患有睫状体平坦部炎。其次是全葡萄膜炎（25.5%）、后葡萄膜炎（23.5%）和前葡萄膜炎（20.6%），频率依次降低。幼年特发性关节炎、弓形虫病和Vogt-小柳-原田综合征分别是前葡萄膜炎、后葡萄膜炎和全葡萄膜炎最常见的病因。白内障（40.5%）、青光眼（33.8%）和黄斑囊样水肿（31.6%）是最常见的眼部并发症。