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Original Articles

Standardization of Nomenclature for Ocular Tuberculosis – Results of Collaborative Ocular Tuberculosis Study (COTS) Workshop

Rupesh Agrawal1 National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore;2 Moorfields Eye Hospital, Department of Ophthamology, NHS Foundation Trust, London, United Kingdom;3 School of Material Science and Engineering, Nanyang Technological University, Singapore

https://orcid.org/0000-0002-6662-5850

, MD, FRCS

Aniruddha Agarwal4 Advanced Eye Center, Department of Ophthamology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

https://orcid.org/0000-0003-4985-9855

, MD

Douglas A. Jabs5 Department of Epidemiology, The Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA;6 Wilmer Eye Institute, Department of Ophthalmology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

, PhD,

Aera Kee1 National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore

, MMed,

Ilaria Testi2 Moorfields Eye Hospital, Department of Ophthamology, NHS Foundation Trust, London, United Kingdom

, MD,

Sarakshi Mahajan7 Byers Eye Institute, Department of Ophthamology, Stanford University, Palo Alto, California, United States of America

, MBBS,

Peter J. McCluskey8 Discipline of Ophthalmology, Save Sight Institute, Faculty of Medicine and Health,The University of Sydney, Sydney, Australia

, PhD,

Amod Gupta4 Advanced Eye Center, Department of Ophthamology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

, MS,

Alan Palestine9 University of Colorado, Denver, USA

, MD,

Alastair Denniston10 Department of Ophthalmology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK; Moorfields Eye Hospital, NHS Foundation Trust, London, United Kingdom

https://orcid.org/0000-0001-7849-0087

, FRCOphth

Alay Banker11 Banker’s Retina Clinic and Laser Centre, 5 Subhash Society, Ahmedabad, India

, MD,

Alessandro Invernizzi12 Eye Clinic, Department of Biomedical and Clinical Science “L. Sacco”, Luigi Sacco Hospital, University of Milan, Milan, Italy

https://orcid.org/0000-0003-3400-1987

, MD

Alex Fonollosa13 Hospital Universitario Cruces, Cruces-Barakaldo, Bilbao, Vizcaya (Spain)

, MD,

Aman Sharma14 Department of Rheumatology, PGIMER, Chandigarh, India

, MD,

Amitabh Kumar15 Department of Uvea, Aditya Birla Sankara Nethralaya, Kolkata, India

, DNB,

Andre Curi16 Instituto Nacional de Infectologia Evandro Chagas, Fiocruz, Brazil

, MD,

Annabelle Okada17 Department of Ophthalmology, Kyorin University School of Medicine, Tokyo, Japan

, MD,

Ariel Schlaen18 Hospital Universitario Austral, Hospital de Clinicas “Jose de San Martín”, Universidad de Buenos Aires

, MD,

Arnd Heiligenhaus19 Augenabteilung und Ophtha Lab am St. Franziskus-Hospital, Münster

https://orcid.org/0000-0002-1726-8973

, MD

Atul Kumar20 Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

, MD,

Avinash Gurbaxani2 Moorfields Eye Hospital, Department of Ophthamology, NHS Foundation Trust, London, United Kingdom

, FRCOphth,

Bahram Bodaghi21 Department of Ophthalmology, Sorbonne University, Paris, France

, PhD,

Bulbul Islam Shah22 Ibn Sina Hospital, Dhaka, Bangladesh

, MD,

Careen Lowder23 Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA

, PhD,

Christoph Tappeiner24 Department of Ophthalmology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

, MD,

Cristina Muccioli25 Instituto da Visão, Hospital São Paulo, Universidade Federal de São Paulo, SP, Brazil

https://orcid.org/0000-0002-6870-6187

, MD

Daniel Vitor Vasconcelos-Santos26 Uveitis Unit, Hospital São Geraldo / Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil

https://orcid.org/0000-0002-6747-2024

, MD

Debra Goldstein27 Feinberg School of Medicine, Department of Ophthalmology, Northwestern University, Chicago, Illinois, USA

, MD,

Digambar Behra28 Deptartment of Pulmonary Medicine, Advanced Eye Centre, Postgraduate Institute of Medical Education & Research, Chandigarh, India

, MD,

Dipankar Das29 Department of Ocular Pathology, Uveitis & Neuro-Ophthalmology Services; Sankaradeva Nethralaya, Guwahati, India

, DNB,

Dorine Makhoul30 Department of Ophthalmology, CHU Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium

, MD,

Edoardo Baglivo31 Department of Ophthalmology, Clinique de l’oeil, Geneva, Switzerland

, MD,

Ekaterina Denisova32 Helmholtz research institute of eye diseases, Moscow, Russia

, MD,

Elisabetta Miserocchi33 Ophthalmology Department, San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy

, MD,

Ester Carreno34 Hospital Universitario Fundación Jimenez Diaz, Madrid, Spain

, MD,

Fatma Asyari35 INOIIS, Department of Ophthalmology University of Indonesia, Indonesia

, MD,

Francesco Pichi36 Eye Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

, MD,

H. Nida Sen37 The Laboratory of Immunology, National Eye Institute, Bethesda, Maryland

, PhD,

Harvey Uy38 Ocular Immunology and Uveitis Service, Asian Eye Institute, Makati, Philippines

, MD,

Heloisa Nascimento25 Instituto da Visão, Hospital São Paulo, Universidade Federal de São Paulo, SP, Brazil

https://orcid.org/0000-0003-0315-1317

, MD

Ilknur Tugal-Tutkun39 Istanbul Faculty of Medicine, Department of Ophthalmology, Istanbul University, Turkey

https://orcid.org/0000-0002-4020-453X

J Fernando Arevalo40 Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

, PhD,

Janet Davis41 Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA

, PhD,

Jennifer Thorne42 Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, USA

, PhD,

Joyce Hisae Yamamoto43 Department of Ophthalmology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil

, PhD,

Justine Smith44 Flinders University College of Medicine and Public Health, Adelaide, Australia

https://orcid.org/0000-0002-4756-5493

, PhD

Justus G. Garweg45 Swiss Eye Institute and Berner Augenklinik am Lindenhofspital, Bern, Switzerland; University of Bern, Bern, Switzerland

, PhD,

Jyotirmay Biswas46 Sankara Nethralaya, Chennai, India

, MD,

Kalpana Babu47 Vittala International Institute of Ophthalmology, Bangalore, India

, DNB,

Kanika Aggarwal4 Advanced Eye Center, Department of Ophthamology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

, MS,

Luca Cimino48 Ocular Immunology Unit, Azienda USL IRCCS, Reggio Emilia, Italy

https://orcid.org/0000-0001-7956-9950

, MD

Lucia Kuffova49 Section of Immunity, Infection and Inflammation, Division of Applied Medicine, University of Aberdeen, School of Medicine and Dentistry, Aberdeen

, DNB,

Mamta Agarwal46 Sankara Nethralaya, Chennai, India

, DNB,

Manfred Zierhut50 Centre of Ophthalmology, University of Tuebingen, Tuebingen, Germany

, PhD,

Manisha Agarwal51 Dr Shroff’s Charity Eye Hospital Daryaganj, New Delhi, India

, MS,

Marc De Smet52 Department of Ophthalmology ZNA Middelheim, Antwerp, Belgium

, PhD,

Maria Sofia Tognon53 Ocular Immunology Unit, Department of Ophthalmology, S. Antonio Hospital, Padova, Italy

, MD,

Marie-Helene Errera54 Centre National d’Ophtalmologie des 15-20, Paris, Sorbonne-Universités, Paris 6, France

, MD,

Marion Munk24 Department of Ophthalmology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

, PhD,

Mark Westcott2 Moorfields Eye Hospital, Department of Ophthamology, NHS Foundation Trust, London, United Kingdom

, FRCOphth,

Masoud Soheilian55 Shahid Beheshti University of Medical Sciences, Tehran, Iran

, MD,

Massimo Accorinti56 Department of Ophthalmology, Sapienza University of Rome, Rome, Italy

, MD,

Moncef Khairallah57 Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia

, MD,

Myhanh Nguyen58 Cao Thang Eye Hospital, Ho Chi Minh City, Vietnam

, MD,

Onn Minn Kon59 Chest and Allergy Clinic, St Mary’s Hospital, Imperial College Heathcare Service trust, London, United Kingdom

, PhD,

Padmamalini Mahendradas60 Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bangalore, India

, DNB,

Peizeng Yang61 The First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Ophthalmology and Chongqing Eye Institute, Chongqing, China

, PhD,

Piergiorgio Neri36 Eye Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

, MD,

Pinar Ozdal62 Department of Ophthalmology, Ulucanlar Eye Education and Research Hospital, University of Health Sciences, Ankara, Turkey

, MD,

Radgonde Amer63 Department of Ophthalmology, Hadassah Medical Center, Jerusalem, Israel

, MD,

Richard Lee2 Moorfields Eye Hospital, Department of Ophthamology, NHS Foundation Trust, London, United Kingdom

, PhD,

Rina La Distia Nora35 INOIIS, Department of Ophthalmology University of Indonesia, Indonesia

, PhD,

Romi Chhabra64 Department of Ophthalmology, University of Manchester, Manchester, United Kingdom

, FRCS,

Rubens Belfort25 Instituto da Visão, Hospital São Paulo, Universidade Federal de São Paulo, SP, Brazil

https://orcid.org/0000-0002-8422-3898

, PhD

Salil Mehta65 Department of Ophthalmology, Lilavati Hospital and Research Center, Bandra Reclamation, Mumbai, India

https://orcid.org/0000-0003-4175-459X

, MS

Samir Shoughy66 The Eye Center and The Eye Foundation for Research in Ophthalmology, Riyad, Saudi Arabia

, MS,

Saurabh Luthra67 Drishti Eye Centre, Dehradun, Uttranchal, India

, MS,

Shelina Oli Mohamed68 Hospital Shah Alam, Shah Alam, Selangor, Malaysia

, MD,

Soon-Phaik Chee69 Singapore Eye Research Institute, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore

, FRCS,

Soumyava Basu70 LV Prasad Eye Institute, Bhubaneswar, India

, MD,

Stephen Teoh71 Eagle Eye Centre, Singapore

, FRCS,

Sudha Ganesh46 Sankara Nethralaya, Chennai, India

, DNB,

Talin Barisani-Asenbauer72 OCUVAC - Centre of Ocular Inflammation and Infection, Laura Bassi Centre of Expertise, Center of Pathophysiology, Infectiology & Immunology, Medical University of Vienna, Vienna

, PhD,

Yan Guex-Crosier73 Jules Gonin Eye Hospital, FAA, University of Lausanne, Switzerland

, PhD,

Yılmaz Ozyazgan39 Istanbul Faculty of Medicine, Department of Ophthalmology, Istanbul University, Turkey

, MD,

Yonca Akova74 Department of Ophthalmology, Bayindir Kavaklidere Hospital, Ankara, Turkey

, MD,

Zohar Habot-Wilner75 Ophthalmology Division, Tel Aviv Medical Center, Tel Aviv, Israel; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

, MD,

John Kempen76 Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts

, PhD,

Quan Dong Nguyen7 Byers Eye Institute, Department of Ophthamology, Stanford University, Palo Alto, California, United States of America

, PhD,

Carlos Pavesio2 Moorfields Eye Hospital, Department of Ophthamology, NHS Foundation Trust, London, United Kingdom

, FRCOphth,

Vishali Gupta4 Advanced Eye Center, Department of Ophthamology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, IndiaCorrespondence[email protected] [email protected]

, MS & for the Collaborative Ocular Tuberculosis Study (COTS) Group show all

ABSTRACT

Purpose: To standardize a nomenclature system for defining clinical phenotypes, and outcome measures for reporting clinical and research data in patients with ocular tuberculosis (OTB).

Methods: Uveitis experts initially administered and further deliberated the survey in an open meeting to determine and propose the preferred nomenclature for terms related to the OTB, terms describing the clinical phenotypes and treatment and reporting outcomes.

Results: The group of experts reached a consensus on terming uveitis attributable to tuberculosis (TB) as tubercular uveitis. The working group introduced a SUN-compatible nomenclature that also defines disease “remission” and “cure”, both of which are relevant for reporting treatment outcomes.

Conclusion: A consensus nomenclature system has been adopted by a large group of international uveitis experts for OTB. The working group recommends the use of standardized nomenclature to prevent ambiguity in communication and to achieve the goal of spreading awareness of this blinding uveitis entity.

Keywords:

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Standardization of Nomenclature for Ocular Tuberculosis – Results of Collaborative Ocular Tuberculosis Study (COTS) Workshop

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Standardization of Nomenclature for Ocular Tuberculosis – Results of Collaborative Ocular Tuberculosis Study (COTS) Workshop

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