Patterns of Uveitis in Patients Admitted to a University Hospital in Riyadh, Saudi Arabia

Abstract

Purpose: To analyze clinical patterns, causes, and systemic disease associations among patients with uveitis admitted to King Abdulaziz University Hospital.

Methods: The authors retrospectively reviewed the medical records of 351 patients (600 eyes).

Results: The study subjects consisted of 183 (52.1%) males and 168 (47.9%) females, with a mean age of 39.9 ± 14.2 years at presentation. The most common anatomic diagnosis was panuveitis (68.6%), followed by posterior uveitis (12.7%), anterior uveitis (12.7%), and intermediate uveitis (6.0%). The most common identifiable specific diagnoses were presumed tuberculous uveitis (PTU) (28.2%), Vogt-Koyanagi-Harada (VKH) disease (19.4%), Behçet disease (BD) (12.5%), and toxoplasmosis (8.2%). After a mean follow-up period of 29.5 ± 22.1 months, 63.5% of the eyes achieved visual acuity of 20/40 or better. Eyes from patients with PTU had the worst final visual outcome.

Conclusions: The most common anatomic diagnosis was panuveitis. PTU, VKH disease, BD, and toxoplasmosis were the most frequent specific diagnoses.

KEYWORDS::

• Behçet disease
• epidemiology
• tuberculous uveitis
• uveitis
• Vogt-Koyanagi-Harada disease

ACKNOWLEDGMENTS

The authors thank Connie B. Unisa-Marfil for secretarial work. This study was supported in part by Medical Research Chair funded by Dr. Nasser Al-Rasheed (AMA).

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.