Clinical and epidemiological characteristics of patients with uveitis in an emergency eye care center in Brazil.

Abstract:

PURPOSE:To analyze the clinical and epidemiological characteristics of patients with uveitis in an emergency eye care center. METHODS:We conducted a prospective, observational study of patients with active uveitis admitted between May 2012 and July 2012 to an emergency eye care center. RESULTS:The majority of patients were male (63.2%), with a mean age of 43.2 years; 66.2% patients were of mixed ethnicity, 22.5% were Caucasian, and 11.3% were black. Anterior uveitis was observed in 70.1% patients, posterior uveitis in 26.5%, and panuveitis in 3.4%; no patient was diagnosed with intermediate uveitis. All patients had a sudden and acute presentation. The most frequent symptoms were ocular pain (76.9%), redness (59.8%), and visual blurring (46.2%). The majority of patients had unilateral disease (94.9%) with a mean symptom duration of 6.2 days. Diffuse and anterior uveitis were associated with ocular pain (p<0.001). Scotomata and floaters were more frequent in patients with posterior uveitis (p=0.003 and p=0.016, respectively). Patients with anterior uveitis presented with better visual acuity (p=0.025). Granulomatous keratotic precipitates were more frequent in patients with posterior uveitis (p=0.038). An etiological diagnosis based on the evaluation at the emergency center was made in 45 patients (38.5%). CONCLUSIONS:Acute anterior uveitis was the most frequent form of uveitis. Initial patient evaluation provided sufficient information for deciding primary therapy and aided in arriving at an etiological diagnosis in a considerable number of patients.

journal_name

Arq Bras Oftalmol

authors

Camilo EN,Moura GL,Arantes TE

doi

10.5935/0004-2749.20140009

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

30-3

issue

1

eissn

0004-2749

issn

1678-2925

pii

S0004-27492014000100030

journal_volume

77

pub_type

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