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ABSTRACT
Purpose: To describe clinical and imaging features of Fuchs’ Uveitis (FU) and investigate the rate of misdiagnosis in Iranian patients.
Methods: Records of 82 FU patients (89 eyes) were reviewed retrospectively.
Results: Remarkable findings included iris heterochromia in 14 (17.1%) patients and Fuchs’ keratic precipitates in 97.8%, vitritis in 89.7% and cataract in 69.7% eyes. FU discovered as an incidental finding in 7 patients (10.0%). Imaging revealed disc hyperfluorescence, mild vascular leakage and epiretinal membrane in 72.7%, 32.5% and 19.4% of eyes, respectively. The rate of misdiagnosis was 19.5% (16 patients) with intermediate uveitis being as the most common erroneous diagnosis (10 patients). Patients with the wrong diagnosis were significantly younger (p = 0.045) and more likely to have bilateral involvement (p = 0.004) or no anterior chamber cells (p = 0.039).
Conclusions: Heterochromia is an infrequent clinical feature in Iranian FU patients, however, vitreous involvement is common. Intermediate uveitis is a usual misdiagnosis.
ACKNOWLEDGMENT
All authors certify that the work described in this manuscript has not been published previously in any form, has never been under consideration for publication elsewhere, is approved by all authors and the responsible authorities where the work was carried out, and that, if accepted, it will not be published elsewhere in the same form, in English or in any other language, including electronically without the written consent of the copyright-holder.
DECLARATION OF INTEREST
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.