Epidemiologic and Clinical Features of Uveitis from a Tertiary Referral Hospital in Bulgaria from 2016

Gueorgui Markov
2017 JOJ Ophthalmology  
Purpose: The aim of the present study is to describe the epidemiological and clinical features of recently presented patients with uveitis in a tertiary referral hospital in Bulgaria. Material and methods: We conducted a retrospective observational study on the clinical records of 42 patients with uveitis of the Results: Forty-two new patients with uveitis presented to our clinic in 2016. Out of them, 28 (66.7%) were female and 14 (33.3%) -male (2:1 ratio). With the exception of one, who was
more » ... of one, who was racially mongoloid, all cases were white-caucasian. The age of the patients varied from 28 to 70 years, with a mean value of 51.9, median -50.5, and mode of 40 years. Uveitis was bilateral in 25 (59.5%) and monolateral in 17 (40.5%) cases. We observed 17 cases (40.5%) of anterior uveitis, 5 patients (11.9%) with posterior, and 20 (47.6%) with panuveitis. The major infectious etiologic agents were viruses from the herpes family, namely herpes simplex virus type -1 and varciella-zoster virus and toxoplasma gondii. Conclusion: Uveitis comprises a diverse group of inflammatory conditions, which affect people of both genders and all ethnic groups at a relatively young and active age. Visual and anatomic outcomes may be excellent with timely diagnosis and treatment to prevent the development of vision-threatening complications. The epidemiologic data from this small cohort of patients from Bulgaria corresponds well with the already published literature for other different ethnic groups. The most common infectious etiologic agents for anterior and panuveitis belonged to the herpetic viruses family -16.7%. Non-infectious uveitis was associated most often with seronegative spondyloarthropathies and sarcoidosis. 47.6% of all cases were classified as idiopathic.
doi:10.19080/jojo.2017.01.555571 fatcat:w3x7knywmfbudiruhksjhe5vge