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2015 ; 9
(ä): 1869-74
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Traumatic uveitis in the mid-Atlantic United States
#MMPMID26491249
Engelhard SB
; Patrie J
; Prenshaw J
; Bajwa A
; Monahan R
; Reddy AK
Clin Ophthalmol
2015[]; 9
(ä): 1869-74
PMID26491249
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PURPOSE: The purpose of this study was to conduct an in-depth analysis of
traumatic uveitis in patients managed in a mid-Atlantic tertiary care center with
the goal of better characterizing the clinical features and outcomes of this
large and important subset of uveitis patients. METHODS: This was a
retrospective, observational study comparing traumatic uveitis patients with
nontraumatic uveitis patients seen at the University of Virginia,
Charlottesville, VA, USA, from 1984 to 2014. RESULTS: Fifty-four traumatic
uveitis patients (55 eyes) were identified. The patient population was 70.4%
male, 57.4% Caucasian, and 37.0% African American. Mean age at diagnosis was 31.2
years; mean duration of follow-up was 5.4 years; and mean number of visits to the
clinic was 4. The most common treatment modality was local steroids (77.8%).
Glaucoma was medically managed in eight patients (14.8%). Cataract surgery was
performed in five patients (9.3%). Mean best-corrected visual acuity at baseline
for traumatic uveitis patients was 0.33 logMAR (SD 0.42) at the initial visit and
0.16 logMAR (SD 0.33) at the final visit. Mean baseline intraocular pressure
(IOP) in the traumatic uveitis group was 15.5 mmHg (SD 7.4) at the initial visit
and 14.6 mmHg (SD 4.0) at the final visit. Patients in the traumatic uveitis
cohort tended to have better visual outcomes than those in the nontraumatic
uveitis cohort. CONCLUSION: In our series, traumatic uveitis patients tended to
be young and male and present with unilateral disease, all findings consistent
with other reports. Despite relatively good visual outcomes, the traumatic
uveitis patients still experienced a high burden of disease, measured both in the
number of clinic visits and duration of follow-up. Due to the young mean age of
patients, these disease burdens and decreased quality of life are nontrivial,
emphasizing the importance of careful management and prompt treatment of this
subset of uveitis patients.
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