May 2005
Volume 46, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2005
Long–term Follow–up of Patients With Multifocal Choroiditis and Panuveitis
Author Affiliations & Notes
  • R.N. G. Vianna
    Ophthalmology, Instituto de Oftalmologia de Niteroi–RJ, Niteroi, Brazil
    Ophthalmology, Uveitis Clinic, McGill University, Montreal, PQ, Canada
  • P.Ç. Ozdal
    Ophthalmology, Uveitis Clinic, McGill University, Montreal, PQ, Canada
  • J.P. Souza Filho
    Ophthalmology, The Henry C. Witelson Laboratory of Ocular Pathology, Montreal, PQ, Canada
  • V.S. Saraiva
    Ophthalmology, The Henry C. Witelson Laboratory of Ocular Pathology, Montreal, PQ, Canada
  • M.P. Ventura
    Ophthalmology, Instituto de Oftalmologia de Niteroi–RJ, Niteroi, Brazil
  • J. Deschenes
    Ophthalmology, Uveitis Clinic, McGill University, Montreal, PQ, Canada
  • M.N. Burnier, Jr
    Ophthalmology, The Henry C. Witelson Laboratory of Ocular Pathology, Montreal, PQ, Canada
  • Footnotes
    Commercial Relationships  R.N.G. Vianna, None; P.Ç. Ozdal, None; J.P. Souza Filho, None; V.S. Saraiva, None; M.P. Ventura, None; J. Deschenes, None; M.N. Burnier, Jr., None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2005, Vol.46, 2827. doi:
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      R.N. G. Vianna, P.Ç. Ozdal, J.P. Souza Filho, V.S. Saraiva, M.P. Ventura, J. Deschenes, M.N. Burnier, Jr; Long–term Follow–up of Patients With Multifocal Choroiditis and Panuveitis . Invest. Ophthalmol. Vis. Sci. 2005;46(13):2827.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose: To report the visual prognosis and long–term complications in patients with multifocal choroiditis and panuveitis (MCP). Methods: A retrospective study was performed with patients who met inclusion criteria for MCP at the Uveitis Clinic, Royal Victoria Hospital, McGill University, Montreal, Canada. Information collected included duration of follow–up, visual acuity (VA) measured at each clinical visit, ocular and systemic treatment and ocular complications observed during the follow–up. Results: Nineteen patients (37 eyes) with MCP with a mean follow–up of 76.9 months were studied. Kaplan–Meier survival analysis showed a decrease in the proportion of patients with a final VA of 20/40 or better over time. Cystoid macular edema was seen in 29.7% of the eyes and was the most frequent macular abnormality observed in our group. On the other hand, choroidal neovascularization was detected in only 6 (16.2%) of the eyes, but was related to a visual acuity of less than 20/200 in four of these eyes. Glaucoma was detected in 10.8% of the eyes. Cataract (posterior subcapsular and/or nuclear) was the most common long–term complication, occurring in 40% of the affected eyes. Cataract surgery improved the visual acuity in 83.3% of these eyes. Conclusions: The visual acuity of patients with MCP decreases with time. Visual loss can occur from complications following the inflammation itself and/or iatrogenic induced by the chronic use of corticosteroids.

Keywords: chorioretinitis • visual acuity • clinical (human) or epidemiologic studies: outcomes/complications 
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