Eye Disease in Patients with Rheumatic Diseases: A Retrospective Observational Cohort Study

Data on eye diseases in rheumatic patients are limited. The aim of this study was to retrospectively assess the prevalence of ophthalmologic diseases in patients at a rheumatology outpatient clinic who also visited the ophthalmologic clinic. For this retrospective observational cohort study, a chart...

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Main Authors: Ralf Altenberger, Teresa Rauchegger, Gertrud Haas, Barbara Teuchner, Michael Schirmer
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/24/7510
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author Ralf Altenberger
Teresa Rauchegger
Gertrud Haas
Barbara Teuchner
Michael Schirmer
author_facet Ralf Altenberger
Teresa Rauchegger
Gertrud Haas
Barbara Teuchner
Michael Schirmer
author_sort Ralf Altenberger
collection DOAJ
description Data on eye diseases in rheumatic patients are limited. The aim of this study was to retrospectively assess the prevalence of ophthalmologic diseases in patients at a rheumatology outpatient clinic who also visited the ophthalmologic clinic. For this retrospective observational cohort study, a chart review was performed according to the STROBE guidelines. In this cohort, an ophthalmologic diagnosis was made in 26.9% of the 1529 rheumatic outpatients, whereas from a rheumatologic perspective, inflammatory non-infectious diagnoses dominated, at 71.7%. From an ophthalmologic perspective, diagnoses without inflammatory pathophysiologic backgrounds dominated, at 54.9%. Inflammatory non-infectious ophthalmologic disease was diagnosed in 24.2% of patients with rheumatoid arthritis and 29.3% of patients with peripheral spondyloarthritis. Not a single rheumatoid arthritis patient was diagnosed with anterior uveitis; however, 16.5% of spondyloarthritis patients were diagnosed with anterior uveitis (<i>p</i> < 0.001). The prevalence of uveitis was 16.3% in axial and 20.1% in peripheral spondyloarthritis. In conclusion, an interdisciplinary rheumatologic–ophthalmologic setting appears justified to further improve the management of patients with rheumatic diseases.
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spelling doaj.art-c119a643027641469714dbe1b34480242023-12-22T14:16:49ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224751010.3390/jcm12247510Eye Disease in Patients with Rheumatic Diseases: A Retrospective Observational Cohort StudyRalf Altenberger0Teresa Rauchegger1Gertrud Haas2Barbara Teuchner3Michael Schirmer4Clinic II, Department of Internal Medicine, Medical University of Innsbruck, 6020 Innsbruck, AustriaDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, 6020 Innsbruck, AustriaDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, 6020 Innsbruck, AustriaDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, 6020 Innsbruck, AustriaDepartment of Ophthalmology and Optometry, Medical University of Innsbruck, 6020 Innsbruck, AustriaData on eye diseases in rheumatic patients are limited. The aim of this study was to retrospectively assess the prevalence of ophthalmologic diseases in patients at a rheumatology outpatient clinic who also visited the ophthalmologic clinic. For this retrospective observational cohort study, a chart review was performed according to the STROBE guidelines. In this cohort, an ophthalmologic diagnosis was made in 26.9% of the 1529 rheumatic outpatients, whereas from a rheumatologic perspective, inflammatory non-infectious diagnoses dominated, at 71.7%. From an ophthalmologic perspective, diagnoses without inflammatory pathophysiologic backgrounds dominated, at 54.9%. Inflammatory non-infectious ophthalmologic disease was diagnosed in 24.2% of patients with rheumatoid arthritis and 29.3% of patients with peripheral spondyloarthritis. Not a single rheumatoid arthritis patient was diagnosed with anterior uveitis; however, 16.5% of spondyloarthritis patients were diagnosed with anterior uveitis (<i>p</i> < 0.001). The prevalence of uveitis was 16.3% in axial and 20.1% in peripheral spondyloarthritis. In conclusion, an interdisciplinary rheumatologic–ophthalmologic setting appears justified to further improve the management of patients with rheumatic diseases.https://www.mdpi.com/2077-0383/12/24/7510ophthalmologyrheumatologyHLA-B27immune-mediated diseaseuveitishealthcare
spellingShingle Ralf Altenberger
Teresa Rauchegger
Gertrud Haas
Barbara Teuchner
Michael Schirmer
Eye Disease in Patients with Rheumatic Diseases: A Retrospective Observational Cohort Study
Journal of Clinical Medicine
ophthalmology
rheumatology
HLA-B27
immune-mediated disease
uveitis
healthcare
title Eye Disease in Patients with Rheumatic Diseases: A Retrospective Observational Cohort Study
title_full Eye Disease in Patients with Rheumatic Diseases: A Retrospective Observational Cohort Study
title_fullStr Eye Disease in Patients with Rheumatic Diseases: A Retrospective Observational Cohort Study
title_full_unstemmed Eye Disease in Patients with Rheumatic Diseases: A Retrospective Observational Cohort Study
title_short Eye Disease in Patients with Rheumatic Diseases: A Retrospective Observational Cohort Study
title_sort eye disease in patients with rheumatic diseases a retrospective observational cohort study
topic ophthalmology
rheumatology
HLA-B27
immune-mediated disease
uveitis
healthcare
url https://www.mdpi.com/2077-0383/12/24/7510
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