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Traumatic uveitis in the mid-Atlantic United States

PURPOSE: The purpose of this study was to conduct an in-depth analysis of traumatic uveitis in patients managed in a mid-Atlantic tertiary care center with the goal of better characterizing the clinical features and outcomes of this large and important subset of uveitis patients. METHODS: This was a...

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Autores principales: Engelhard, Stephanie B, Patrie, James, Prenshaw, John, Bajwa, Asima, Monahan, Rose, Reddy, Ashvini K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4599638/
https://www.ncbi.nlm.nih.gov/pubmed/26491249
http://dx.doi.org/10.2147/OPTH.S90153
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author Engelhard, Stephanie B
Patrie, James
Prenshaw, John
Bajwa, Asima
Monahan, Rose
Reddy, Ashvini K
author_facet Engelhard, Stephanie B
Patrie, James
Prenshaw, John
Bajwa, Asima
Monahan, Rose
Reddy, Ashvini K
author_sort Engelhard, Stephanie B
collection PubMed
description PURPOSE: The purpose of this study was to conduct an in-depth analysis of traumatic uveitis in patients managed in a mid-Atlantic tertiary care center with the goal of better characterizing the clinical features and outcomes of this large and important subset of uveitis patients. METHODS: This was a retrospective, observational study comparing traumatic uveitis patients with nontraumatic uveitis patients seen at the University of Virginia, Charlottesville, VA, USA, from 1984 to 2014. RESULTS: Fifty-four traumatic uveitis patients (55 eyes) were identified. The patient population was 70.4% male, 57.4% Caucasian, and 37.0% African American. Mean age at diagnosis was 31.2 years; mean duration of follow-up was 5.4 years; and mean number of visits to the clinic was 4. The most common treatment modality was local steroids (77.8%). Glaucoma was medically managed in eight patients (14.8%). Cataract surgery was performed in five patients (9.3%). Mean best-corrected visual acuity at baseline for traumatic uveitis patients was 0.33 logMAR (SD 0.42) at the initial visit and 0.16 logMAR (SD 0.33) at the final visit. Mean baseline intraocular pressure (IOP) in the traumatic uveitis group was 15.5 mmHg (SD 7.4) at the initial visit and 14.6 mmHg (SD 4.0) at the final visit. Patients in the traumatic uveitis cohort tended to have better visual outcomes than those in the nontraumatic uveitis cohort. CONCLUSION: In our series, traumatic uveitis patients tended to be young and male and present with unilateral disease, all findings consistent with other reports. Despite relatively good visual outcomes, the traumatic uveitis patients still experienced a high burden of disease, measured both in the number of clinic visits and duration of follow-up. Due to the young mean age of patients, these disease burdens and decreased quality of life are nontrivial, emphasizing the importance of careful management and prompt treatment of this subset of uveitis patients.
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spelling pubmed-45996382015-10-21 Traumatic uveitis in the mid-Atlantic United States Engelhard, Stephanie B Patrie, James Prenshaw, John Bajwa, Asima Monahan, Rose Reddy, Ashvini K Clin Ophthalmol Original Research PURPOSE: The purpose of this study was to conduct an in-depth analysis of traumatic uveitis in patients managed in a mid-Atlantic tertiary care center with the goal of better characterizing the clinical features and outcomes of this large and important subset of uveitis patients. METHODS: This was a retrospective, observational study comparing traumatic uveitis patients with nontraumatic uveitis patients seen at the University of Virginia, Charlottesville, VA, USA, from 1984 to 2014. RESULTS: Fifty-four traumatic uveitis patients (55 eyes) were identified. The patient population was 70.4% male, 57.4% Caucasian, and 37.0% African American. Mean age at diagnosis was 31.2 years; mean duration of follow-up was 5.4 years; and mean number of visits to the clinic was 4. The most common treatment modality was local steroids (77.8%). Glaucoma was medically managed in eight patients (14.8%). Cataract surgery was performed in five patients (9.3%). Mean best-corrected visual acuity at baseline for traumatic uveitis patients was 0.33 logMAR (SD 0.42) at the initial visit and 0.16 logMAR (SD 0.33) at the final visit. Mean baseline intraocular pressure (IOP) in the traumatic uveitis group was 15.5 mmHg (SD 7.4) at the initial visit and 14.6 mmHg (SD 4.0) at the final visit. Patients in the traumatic uveitis cohort tended to have better visual outcomes than those in the nontraumatic uveitis cohort. CONCLUSION: In our series, traumatic uveitis patients tended to be young and male and present with unilateral disease, all findings consistent with other reports. Despite relatively good visual outcomes, the traumatic uveitis patients still experienced a high burden of disease, measured both in the number of clinic visits and duration of follow-up. Due to the young mean age of patients, these disease burdens and decreased quality of life are nontrivial, emphasizing the importance of careful management and prompt treatment of this subset of uveitis patients. Dove Medical Press 2015-10-05 /pmc/articles/PMC4599638/ /pubmed/26491249 http://dx.doi.org/10.2147/OPTH.S90153 Text en © 2015 Engelhard et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Engelhard, Stephanie B
Patrie, James
Prenshaw, John
Bajwa, Asima
Monahan, Rose
Reddy, Ashvini K
Traumatic uveitis in the mid-Atlantic United States
title Traumatic uveitis in the mid-Atlantic United States
title_full Traumatic uveitis in the mid-Atlantic United States
title_fullStr Traumatic uveitis in the mid-Atlantic United States
title_full_unstemmed Traumatic uveitis in the mid-Atlantic United States
title_short Traumatic uveitis in the mid-Atlantic United States
title_sort traumatic uveitis in the mid-atlantic united states
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4599638/
https://www.ncbi.nlm.nih.gov/pubmed/26491249
http://dx.doi.org/10.2147/OPTH.S90153
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