Prevalence, clinical profile, investigations, and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in South India

Purpose: To report the prevalence, clinical profile, investigations, and visual outcomes of sarcoid intermediate uveitis in a tertiary eye care center in South India. Methods: Retrospective, observational case series. Records of 29 patients with sarcoid intermediate uveitis were retrieved. Complete...

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Main Authors: Jeyasooriya Ramdoss, Anupreeti Jain, G N Thejesvi, Jyotirmay Biswas
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2454;epage=2457;aulast=Ramdoss
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author Jeyasooriya Ramdoss
Anupreeti Jain
G N Thejesvi
Jyotirmay Biswas
author_facet Jeyasooriya Ramdoss
Anupreeti Jain
G N Thejesvi
Jyotirmay Biswas
author_sort Jeyasooriya Ramdoss
collection DOAJ
description Purpose: To report the prevalence, clinical profile, investigations, and visual outcomes of sarcoid intermediate uveitis in a tertiary eye care center in South India. Methods: Retrospective, observational case series. Records of 29 patients with sarcoid intermediate uveitis were retrieved. Complete ophthalmic evaluation and systemic examination by a pulmonologist with appropriate laboratory investigations were done. Results were analyzed using SPSS software. Results: Mean age group was 42.14 ± 11.31 years. The bilateral presentation was more common and females were more affected than males. Anterior chamber cells and flares in 22.4% of cases (N = 11 eyes), posterior synechiae in 20.4% (N = 10 eyes), and both small and mutton fat keratic precipitates in 14.2% of cases (N = 7 eyes) were noted; only one eye had Busacca nodules similar to other granulomatous uveitis. Cystoid macular edemas were present in three eyes. Treatment with oral steroids and systemic immunosuppression resulted in good visual recovery. The mean presenting visual acuity in right and left eye were 0.2 and 0.3, respectively. The mean final visual acuity in right and left eye was 0.1 and 0.3, respectively. Conclusion: Sarcoid intermediate uveitis is quite common in a tuberculosis endemic country like India. A complete review of systems with appropriate investigations is essential to prevent visual complications.
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spelling doaj.art-ddd47e89598a472ba3747a3a2b1db59d2022-12-22T01:53:15ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-017072454245710.4103/ijo.IJO_3099_21Prevalence, clinical profile, investigations, and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in South IndiaJeyasooriya RamdossAnupreeti JainG N ThejesviJyotirmay BiswasPurpose: To report the prevalence, clinical profile, investigations, and visual outcomes of sarcoid intermediate uveitis in a tertiary eye care center in South India. Methods: Retrospective, observational case series. Records of 29 patients with sarcoid intermediate uveitis were retrieved. Complete ophthalmic evaluation and systemic examination by a pulmonologist with appropriate laboratory investigations were done. Results were analyzed using SPSS software. Results: Mean age group was 42.14 ± 11.31 years. The bilateral presentation was more common and females were more affected than males. Anterior chamber cells and flares in 22.4% of cases (N = 11 eyes), posterior synechiae in 20.4% (N = 10 eyes), and both small and mutton fat keratic precipitates in 14.2% of cases (N = 7 eyes) were noted; only one eye had Busacca nodules similar to other granulomatous uveitis. Cystoid macular edemas were present in three eyes. Treatment with oral steroids and systemic immunosuppression resulted in good visual recovery. The mean presenting visual acuity in right and left eye were 0.2 and 0.3, respectively. The mean final visual acuity in right and left eye was 0.1 and 0.3, respectively. Conclusion: Sarcoid intermediate uveitis is quite common in a tuberculosis endemic country like India. A complete review of systems with appropriate investigations is essential to prevent visual complications.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2454;epage=2457;aulast=Ramdosshigh resolution computed tomography of chestintermediate uveitissarcoidserum angiotensin converting enzymesnowball exudates
spellingShingle Jeyasooriya Ramdoss
Anupreeti Jain
G N Thejesvi
Jyotirmay Biswas
Prevalence, clinical profile, investigations, and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in South India
Indian Journal of Ophthalmology
high resolution computed tomography of chest
intermediate uveitis
sarcoid
serum angiotensin converting enzyme
snowball exudates
title Prevalence, clinical profile, investigations, and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in South India
title_full Prevalence, clinical profile, investigations, and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in South India
title_fullStr Prevalence, clinical profile, investigations, and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in South India
title_full_unstemmed Prevalence, clinical profile, investigations, and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in South India
title_short Prevalence, clinical profile, investigations, and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in South India
title_sort prevalence clinical profile investigations and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in south india
topic high resolution computed tomography of chest
intermediate uveitis
sarcoid
serum angiotensin converting enzyme
snowball exudates
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2454;epage=2457;aulast=Ramdoss
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