Clinical Features of Japanese Patients with Ocular Inflammation and Their Surgical Procedures Over the Course of 20 Years

Nanae Takai, Takatoshi Kobayashi, Teruyo Kida, Tsunehiko Ikeda Department of Ophthalmology, Osaka Medical College, Takatsuki, JapanCorrespondence: Teruyo Kida Email opt038@osaka-med.ac.jpPurpose: To review clinical characteristics of ocular inflammation patients in Osaka, Japan, over 20 yea...

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Autores principales:	Takai N, Kobayashi T, Kida T, Ikeda T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	anterior uveitis sarcoidosis cataract surgery glaucoma surgery vitrectomy Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f5f961980f5c47b2a190e81ec7bee555
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spelling	oai:doaj.org-article:f5f961980f5c47b2a190e81ec7bee5552021-12-02T13:01:01ZClinical Features of Japanese Patients with Ocular Inflammation and Their Surgical Procedures Over the Course of 20 Years1177-5483https://doaj.org/article/f5f961980f5c47b2a190e81ec7bee5552020-09-01T00:00:00Zhttps://www.dovepress.com/clinical-features-of-japanese-patients-with-ocular-inflammation-and-th-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Nanae Takai, Takatoshi Kobayashi, Teruyo Kida, Tsunehiko Ikeda Department of Ophthalmology, Osaka Medical College, Takatsuki, JapanCorrespondence: Teruyo Kida Email opt038@osaka-med.ac.jpPurpose: To review clinical characteristics of ocular inflammation patients in Osaka, Japan, over 20 years and investigate the efficacy of required surgeries.Methods: We conducted a retrospective study involving 2730 eyes of 1815 patients with ocular inflammation examined at the Osaka Medical College Hospital from April 1999 to March 2019.Results: Patients comprised 843 males and 972 females, with a mean age of 56.3 ± 18.5 years. Anterior uveitis, such as scleritis, acute anterior uveitis, and herpes iritis, was the most common anatomical classification (51.2%), followed by panuveitis (37.2%), posterior uveitis (9.4%), and intermediate uveitis (2.2%). Sarcoidosis occurred in 153 patients (8.4%), Vogt-Koyanagi-Harada disease (VKH) in 83 (4.6%), and Behçet’s disease in 68 (3.7%). Sarcoidosis peaked in two age groups: 30s and 50– 70s. Of the 1815 patients, 389 eyes of 271 patients (14.9%) had cataract surgery, 162 eyes of 133 (7.3%) had vitrectomy, and 124 eyes of 103 (5.7%) had glaucoma surgery. Among cataract surgery patients, 49 (18.1%) had sarcoidosis, 14 (5.2%) had VKH, and seven (2.6%) had Behçet’s disease, and visual acuity (VA) was improved in 321 eyes (82.5%). Among vitrectomy patients, 15 (11.3%) had acute retinal necrosis, 14 (10.5%) had sarcoidosis, 12 (9.0%) had fungal endophthalmitis, and 11 (8.3%) had malignant lymphoma (ML); 83 eyes (51.2%) needed vitrectomy due to vitreous opacity, and VA improved in 88 eyes (54.3%). Among glaucoma surgery patients, 13 (12.6%) had sarcoidosis, and nine (8.7%) had Posner-Schlossman syndrome.Conclusion: Anterior uveitis was the commonest form of uveitis and sarcoidosis was the commonest underlying disease. The age distribution of sarcoidosis was older than in previous reports. 10% of patients with sarcoidosis needed glaucoma surgery, and vitrectomy was required in 50% for vitreous opacity caused by ML or sarcoidosis.Keywords: anterior uveitis, sarcoidosis, cataract surgery, glaucoma surgery, vitrectomyTakai NKobayashi TKida TIkeda TDove Medical Pressarticleanterior uveitissarcoidosiscataract surgeryglaucoma surgeryvitrectomyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2799-2806 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	anterior uveitis sarcoidosis cataract surgery glaucoma surgery vitrectomy Ophthalmology RE1-994
spellingShingle	anterior uveitis sarcoidosis cataract surgery glaucoma surgery vitrectomy Ophthalmology RE1-994 Takai N Kobayashi T Kida T Ikeda T Clinical Features of Japanese Patients with Ocular Inflammation and Their Surgical Procedures Over the Course of 20 Years
description	Nanae Takai, Takatoshi Kobayashi, Teruyo Kida, Tsunehiko Ikeda Department of Ophthalmology, Osaka Medical College, Takatsuki, JapanCorrespondence: Teruyo Kida Email opt038@osaka-med.ac.jpPurpose: To review clinical characteristics of ocular inflammation patients in Osaka, Japan, over 20 years and investigate the efficacy of required surgeries.Methods: We conducted a retrospective study involving 2730 eyes of 1815 patients with ocular inflammation examined at the Osaka Medical College Hospital from April 1999 to March 2019.Results: Patients comprised 843 males and 972 females, with a mean age of 56.3 ± 18.5 years. Anterior uveitis, such as scleritis, acute anterior uveitis, and herpes iritis, was the most common anatomical classification (51.2%), followed by panuveitis (37.2%), posterior uveitis (9.4%), and intermediate uveitis (2.2%). Sarcoidosis occurred in 153 patients (8.4%), Vogt-Koyanagi-Harada disease (VKH) in 83 (4.6%), and Behçet’s disease in 68 (3.7%). Sarcoidosis peaked in two age groups: 30s and 50– 70s. Of the 1815 patients, 389 eyes of 271 patients (14.9%) had cataract surgery, 162 eyes of 133 (7.3%) had vitrectomy, and 124 eyes of 103 (5.7%) had glaucoma surgery. Among cataract surgery patients, 49 (18.1%) had sarcoidosis, 14 (5.2%) had VKH, and seven (2.6%) had Behçet’s disease, and visual acuity (VA) was improved in 321 eyes (82.5%). Among vitrectomy patients, 15 (11.3%) had acute retinal necrosis, 14 (10.5%) had sarcoidosis, 12 (9.0%) had fungal endophthalmitis, and 11 (8.3%) had malignant lymphoma (ML); 83 eyes (51.2%) needed vitrectomy due to vitreous opacity, and VA improved in 88 eyes (54.3%). Among glaucoma surgery patients, 13 (12.6%) had sarcoidosis, and nine (8.7%) had Posner-Schlossman syndrome.Conclusion: Anterior uveitis was the commonest form of uveitis and sarcoidosis was the commonest underlying disease. The age distribution of sarcoidosis was older than in previous reports. 10% of patients with sarcoidosis needed glaucoma surgery, and vitrectomy was required in 50% for vitreous opacity caused by ML or sarcoidosis.Keywords: anterior uveitis, sarcoidosis, cataract surgery, glaucoma surgery, vitrectomy
format	article
author	Takai N Kobayashi T Kida T Ikeda T
author_facet	Takai N Kobayashi T Kida T Ikeda T
author_sort	Takai N
title	Clinical Features of Japanese Patients with Ocular Inflammation and Their Surgical Procedures Over the Course of 20 Years
title_short	Clinical Features of Japanese Patients with Ocular Inflammation and Their Surgical Procedures Over the Course of 20 Years
title_full	Clinical Features of Japanese Patients with Ocular Inflammation and Their Surgical Procedures Over the Course of 20 Years
title_fullStr	Clinical Features of Japanese Patients with Ocular Inflammation and Their Surgical Procedures Over the Course of 20 Years
title_full_unstemmed	Clinical Features of Japanese Patients with Ocular Inflammation and Their Surgical Procedures Over the Course of 20 Years
title_sort	clinical features of japanese patients with ocular inflammation and their surgical procedures over the course of 20 years
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/f5f961980f5c47b2a190e81ec7bee555
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Clinical Features of Japanese Patients with Ocular Inflammation and Their Surgical Procedures Over the Course of 20 Years

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