Abstract
This report describes a retrospective study of all new patients in our uveitis clinic between January 1992 and December 1994, undertaken to identify the pattern of uveitis in the Indian subcontinent. A standard clinical protocol, and the naming-meshing system with tailored laboratory investigations were used to arrive at a final uveitic diagnosis. Uveitis comprised 1.5% of new cases seen at the centre. Out of 1273 uveitis cases, anterior uveitis was the most common type (39.28%), followed by posterior uveitis (28.75%), intermediate uveitis (17.44%), and panuveitis (14.53%). The most commonly affected age group were patients in their forties (23.57%). Uveitis was less common in children below 10 years (3.61%) and in adults over 60 years of age (6.44%). Men (62.21%) were more commonly affected than women (37.79%). Aetiology remained undetermined in 59.31% of cases. Anterior uveitis was most commonly idiopathic (58.6%). The most common cause of posterior uveitis was toxoplasmosis (27.87%), and that of panuveitis was the Vogt-Koyanagi-Harada syndrome (21.08%). A higher incidence of microbiologically proven tubercular uveitis (5 cases), and uveitis due to live intraocular nematode (4 cases), and malaria (1 case), were seen, in contrast to other studies. Only 2 cases of AIDS with ocular lesions were seen. This paper reveals the pattern of uveitis seen at a major referral eye institute in India.
Similar content being viewed by others
References
Smit RLMJ, Baarsma GS. Epidemiology of uveitis. Curr Opinion Ophthalmol 1995; 6: 57–61.
Bloch-Michel E, Nussenblatt RB. International Uveitis Study Group Recommendations for the evaluation of intraocular inflammatory disease (letter to the editor). Am J Ophthalmol 1987; 103: 234–5.
Smith RE, Nozik RA. Uveitis a clinical approach to diagnosis and management, 2nd ed. Baltimore: Williams and Wilkins, 1989: 23–6.
Henderly DE, Genstler AJ, Smith RE, Rao NA. Changing patterns of uveitis. Am J Ophthalmol 1987; 103: 131–6.
Rothova A, Buitenhuis HJ, Meenken C, et al. Uveitis and systemic disease. Br J Ophthalmol 1992; 76: 137–41.
Sugita M, Enomota Y, Nakayma S, Ohba S, Yamamoto T, Ohno S. Epidemiological study on endogenous uveitis in Japan. In: ‘Recent advances in uveitis’. Proceedings of the Third International Symposium on Uveitis, Brussels, Belgium, May 24–27, pp 161–3, 1992.
Rosenbaum JT. Uveitis, an internist view. Arch Int Med 1989; 149: 1173–6.
Meisler DM, Palestine AG, Vastine DW. Chronic propionibacterium endophthalmitis after extracapsular cataract extraction and intraocular lens implantation. Am J Ophthalmol 1986; 102: 733–9.
Couto C, Merlo JL. Epidemiological study of patients with uveitis in Buenos Aires, Argentina. In: ‘Recent advances in uveitis’. Proceedings of the Third International Symposium on Uveitis, Brussels, Belgium, May 24–27, pp 171–4, 1992.
Biswas J, Gopal L, Sharma T, Badrinath SS. Intraocular Gnathostoma spinigerom -clinicopathologic study of two cases with review of literature. Retina 1994; 14: 438–44.
Helm CJ, Holland GN. Ocular tuberculosis. Surv Ophthalmol 1993; 38: 229–56.
Biswas J, Madhavan HN, Gopal L, Badrinath SS. Intraocular tuberculosis - clinicopathological study of 5 cases with review of literature. Retina 1995; 15: 461–8.
Hidayat AA, Nalbandian RM, Sammons DW, et al. The diagnosis histopathologic features of ocular malaria. Ophthalmology 1993; 100: 1183–6.
Biswas J, Madhavan HN, Badrinath SS. Ocular lesion in AIDS: a report of first two cases in India. Indian J Ophthalmol 1995; 43: 69–72.
Henderly DE, Freeman WR, Smith RE, et al. Cytomegalovirus retinitis as the initial manifestation of the acquired immune deficiency syndrome. Am J Ophthalmol 1987; 103: 316–20.
John TJ, Babu PG, Jayakumari H, et al. Current prevalence and risk group of HIV infection in Tamil Nadu, India. Lancet 1987; 1: 160–1.
Biswas J, Rao NA. Diagnosis and management of ocular lesions in acquired immunodeficiency syndrome. Indian J Ophthalmol 1988; 36: 151–5.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Biswas, J., Narain, S., Das, D. et al. Pattern of uveitis in a referral uveitis clinic in India. Int Ophthalmol 20, 223–228 (1996). https://doi.org/10.1007/BF00175264
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00175264