Clinical Outcome of Hypertensive Uveitis
Purpose. To review the clinical outcome of patients with hypertensive uveitis. Methods. Retrospective review of uveitis patients with elevated intraocular pressure (IOP) > 25 mmHg and >1-year follow-up. Data are uveitis type, etiology, viral (VU) and nonviral uveitis (NVU), IOP, and medical an...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2015/974870 |
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| author | Deborah Lewkowicz François Willermain Lia Judice Relvas Dorine Makhoul Sarah Janssens Xavier Janssens Laure Caspers |
| author_facet | Deborah Lewkowicz François Willermain Lia Judice Relvas Dorine Makhoul Sarah Janssens Xavier Janssens Laure Caspers |
| author_sort | Deborah Lewkowicz |
| collection | DOAJ |
| description | Purpose. To review the clinical outcome of patients with hypertensive uveitis. Methods. Retrospective review of uveitis patients with elevated intraocular pressure (IOP) > 25 mmHg and >1-year follow-up. Data are uveitis type, etiology, viral (VU) and nonviral uveitis (NVU), IOP, and medical and/or surgical treatment. Results. In 61 patients, IOP values are first 32.9 mmHg (SD: 9.0), highest 36.6 mmHg (SD: 9.9), 3 months after the first episode 19.54 mmHg (SD: 9.16), and end of follow-up 15.5 mmHg (SD: 6.24). Patients with VU (n=25) were older (50.6 y/35.7 y, p=0.014) and had more unilateral disease (100%/72.22% p=0.004) than those with NVU (n=36). Thirty patients (49.2%) had an elevated IOP before topical corticosteroid treatment. Patients with viral uveitis might have higher first elevated IOP (36.0/27.5 mmHg, p=0,008) and maximal IOP (40.28/34.06 mmHg, p=0.0148) but this was not significant when limited to the measurements before the use of topical corticosteroids (p=0.260 and 0.160). Glaucoma occurred in 15 patients (24.59%) and was suspected in 11 (18.03%) without difference in viral and nonviral groups (p=0.774). Conclusion. Patients with VU were older and had more unilateral hypertensive uveitis. Glaucoma frequently complicates hypertensive uveitis. Half of the patients had an elevated IOP before topical corticosteroid treatment. |
| format | Article |
| id | doaj-art-3a148ebcdb08459ba93f17821a1c6d6c |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-3a148ebcdb08459ba93f17821a1c6d6c2025-02-03T05:53:05ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/974870974870Clinical Outcome of Hypertensive UveitisDeborah Lewkowicz0François Willermain1Lia Judice Relvas2Dorine Makhoul3Sarah Janssens4Xavier Janssens5Laure Caspers6CHU Saint-Pierre, Université Libre de Bruxelles (ULB), 1000 Brussels, BelgiumCHU Saint-Pierre, Université Libre de Bruxelles (ULB), 1000 Brussels, BelgiumCHU Saint-Pierre, Université Libre de Bruxelles (ULB), 1000 Brussels, BelgiumCHU Saint-Pierre, Université Libre de Bruxelles (ULB), 1000 Brussels, BelgiumCHU Saint-Pierre, Université Libre de Bruxelles (ULB), 1000 Brussels, BelgiumCHU Saint-Pierre, Université Libre de Bruxelles (ULB), 1000 Brussels, BelgiumCHU Saint-Pierre, Université Libre de Bruxelles (ULB), 1000 Brussels, BelgiumPurpose. To review the clinical outcome of patients with hypertensive uveitis. Methods. Retrospective review of uveitis patients with elevated intraocular pressure (IOP) > 25 mmHg and >1-year follow-up. Data are uveitis type, etiology, viral (VU) and nonviral uveitis (NVU), IOP, and medical and/or surgical treatment. Results. In 61 patients, IOP values are first 32.9 mmHg (SD: 9.0), highest 36.6 mmHg (SD: 9.9), 3 months after the first episode 19.54 mmHg (SD: 9.16), and end of follow-up 15.5 mmHg (SD: 6.24). Patients with VU (n=25) were older (50.6 y/35.7 y, p=0.014) and had more unilateral disease (100%/72.22% p=0.004) than those with NVU (n=36). Thirty patients (49.2%) had an elevated IOP before topical corticosteroid treatment. Patients with viral uveitis might have higher first elevated IOP (36.0/27.5 mmHg, p=0,008) and maximal IOP (40.28/34.06 mmHg, p=0.0148) but this was not significant when limited to the measurements before the use of topical corticosteroids (p=0.260 and 0.160). Glaucoma occurred in 15 patients (24.59%) and was suspected in 11 (18.03%) without difference in viral and nonviral groups (p=0.774). Conclusion. Patients with VU were older and had more unilateral hypertensive uveitis. Glaucoma frequently complicates hypertensive uveitis. Half of the patients had an elevated IOP before topical corticosteroid treatment.http://dx.doi.org/10.1155/2015/974870 |
| spellingShingle | Deborah Lewkowicz François Willermain Lia Judice Relvas Dorine Makhoul Sarah Janssens Xavier Janssens Laure Caspers Clinical Outcome of Hypertensive Uveitis Journal of Ophthalmology |
| title | Clinical Outcome of Hypertensive Uveitis |
| title_full | Clinical Outcome of Hypertensive Uveitis |
| title_fullStr | Clinical Outcome of Hypertensive Uveitis |
| title_full_unstemmed | Clinical Outcome of Hypertensive Uveitis |
| title_short | Clinical Outcome of Hypertensive Uveitis |
| title_sort | clinical outcome of hypertensive uveitis |
| url | http://dx.doi.org/10.1155/2015/974870 |
| work_keys_str_mv | AT deborahlewkowicz clinicaloutcomeofhypertensiveuveitis AT francoiswillermain clinicaloutcomeofhypertensiveuveitis AT liajudicerelvas clinicaloutcomeofhypertensiveuveitis AT dorinemakhoul clinicaloutcomeofhypertensiveuveitis AT sarahjanssens clinicaloutcomeofhypertensiveuveitis AT xavierjanssens clinicaloutcomeofhypertensiveuveitis AT laurecaspers clinicaloutcomeofhypertensiveuveitis |