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沙特阿拉伯东部省一家三级眼科医院的葡萄膜炎模式,并与当地文献比较。

Pattern of Uveitis at a Tertiary Eye Hospital in Eastern Province of Saudi Arabia and Comparison with Local Literature.

机构信息

Ophthalmology Department, Dhahran-Eye-Specialist-Hospital, Al Jamiah, Dhahran, Saudi Arabia.

Department of Ophthalmology, Ohud Hospital, Medina, Saudi Arabia.

出版信息

Ocul Immunol Inflamm. 2023 Nov;31(9):1837-1841. doi: 10.1080/09273948.2022.2128822. Epub 2023 Feb 6.

Abstract

PURPOSE

To explore the patterns of uveitis in a main ophthalmic referral center in the Eastern province of Saudi Arabia.

METHODS

A retrospective chart review of uveitis cases was conducted in a tertiary eye hospital for five years. In addition, a comprehensive review of Saudi publications about uveitis patterns in the literature.

RESULTS

Out of 222 patients included, 54.4% were females, with a mean age of 38.5 years. Uveitis was bilateral in 55.7%, non-granulomatous in 55.9%, and infectious in 11.3%. Most of the cases were anterior uveitis (51.1%), followed by panuveitis (26%), intermediate uveitis (12.8%), and posterior uveitis (10%). Apart from idiopathic cases (43.7%), the most common diagnoses were Vogt-Koyanagi-Harada disease (11.3%) and Behcet's disease (7.7%) in adults. Juvenile idiopathic arthritis (7.2%) was commonest among children. Posterior synechiae was the leading complication (32.0%), followed by cataracts (22.8%).

CONCLUSIONS

VKH and Behçet disease were the primary non-idiopathic etiologies in Saudi Arabia.

摘要

目的

探讨沙特阿拉伯东部主要眼科转诊中心的葡萄膜炎模式。

方法

对一家三级眼科医院的葡萄膜炎病例进行了五年的回顾性图表审查。此外,还对沙特阿拉伯关于葡萄膜炎模式的文献进行了全面回顾。

结果

在纳入的 222 名患者中,54.4%为女性,平均年龄为 38.5 岁。葡萄膜炎双侧占 55.7%,非肉芽肿性占 55.9%,感染性占 11.3%。大多数病例为前葡萄膜炎(51.1%),其次是全葡萄膜炎(26%)、中间葡萄膜炎(12.8%)和后葡萄膜炎(10%)。除特发性病例(43.7%)外,成人中最常见的诊断是 Vogt-Koyanagi-Harada 病(11.3%)和 Behcet 病(7.7%)。儿童中最常见的是幼年特发性关节炎(7.2%)。后粘连是最主要的并发症(32.0%),其次是白内障(22.8%)。

结论

VKH 和 Behçet 病是沙特阿拉伯主要的非特发性病因。

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