Abstract
Abstract: :
Purpose: To characterize the incidence, location, and etiology of uveitis in a general ophthalmology clinic in suburban Chicago Methods: A retrospective chart review of patients presenting to a suburban, general ophthalmology clinic from November 2001 through November 2002 was conducted. A computerized medical record search was performed for any patients with a diagnosis of any of the following: iritis, intermediate uveitis, posterior uveitis, toxoplasmosis, histoplasmosis. The diagnosis of uveitis was established based on an ophthalmologic exam performed by a uveitis-trained ophthalmologist using the following criteria: history, clinical exam, and laboratory evaluation. Results: A total of 12,000 charts were reviewed. A diagnosis of uveitis including the previously-mentioned diagnoses was present for 186 patients. Of these, 104 (55.9%) were female and 82 (44.1%) were male. The average age of these patients was 46.0 years (range 5-83). In regard to location, 55.4% of the cases involved the anterior segment, 31.2% involved the posterior segment, 9.1% were intermediate in location, and 3.8% of the patients had a panuveitis. Conclusions: As compared to previous studies[1], we also found that the most common location of uveitis was the anterior segment. The most common etiology was idiopathic iritis; however, the second most common etiology of anterior segment uveitis was HLA-B27-associated iritis. The most common etiology of posterior uveitis in our study was toxoplasmosis. Our findings suggest a difference in the pattern of uveitis. This may be attributed to differences in the populations studied (suburban Chicago versus urban Los Angeles). [1] Henderly, Dale E, Genster, Arla J., Smith, Ronald E., and Rao, Narsing A. Changing Patterns of Uveitis. American Journal of Ophthalmology, 103: 131-136, 1987.
Keywords: uveitis-clinical/animal model • clinical (human) or epidemiologic studies: pre • clinical (human) or epidemiologic studies: bio