Pattern of posterior uveitis in a tertiary care government eye hospital in South India

Abstract

Background: The spectrum of uveitis cases is largely influenced by genetic, geographic, and environmental factors. The causes and types of posterior uveitis cases in patients attending a Tertiary Care Eye Hospital, attached to Government Medical College, in a major South Indian city catering to two important states were studied. Aim: To analyze the pattern of posterior uveitis in a tertiary care government eye hospital. Design: Retrospective noncomparative case series. Materials and Methods: A retrospective analysis of 101 posterior uveitis cases attending the retina/uvea outpatient department of a major government eye hospital, seen between January 2014 and June 2015, was done to know the clinical pattern of the posterior uveitis entities. A comprehensive eye examination with a tailored laboratory investigations approach was used to arrive at a diagnosis. Results: Of the 101 patients, there were 56 (55.5%) males and 45 (44.5%) females, in the age group of 15–65 years. A specific diagnosis could be established in 75% of the patients, including infections in 19 cases (18%), specific ocular disease in 45 cases (44.5%). Idiopathic group comprised 25 cases (24.75%). In the infective group, tuberculosis was more than toxoplasmosis. Vogt-Koyanagi-Harada (VKH) cases, presenting as posterior uveitis, comprised 19 cases (18.8%). Conclusion: Tuberculosis and toxoplasmosis were the common infective causes, and VKH, multifocal choroiditis, and serpiginous choroidopathy were the common noninfective entities.

Keywords

• Choroiditis
• posterior uveitis
• toxoplasmosis
• tuberculosis
• Vogt-Koyanagi-Harada