泰米尔纳德邦三级保健中心前葡萄膜炎的病因学分布

Dr. K Keerthika, Dr. S Manavalan, Dr. V Sridevi, Dr.M. Nithya, Dr.M. Ramya
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摘要

目的:本研究旨在确定泰米尔纳德邦三级保健中心前葡萄膜炎的病因分布。研究:前瞻性描述性观察性研究。材料与方法:对Rajah Muthiah医学院及医院眼科确诊临床诊断为葡萄膜前炎的72例患者进行裂隙灯及双目间接检眼镜检查,随访6个月。结果:72例诊断为前葡萄膜炎的患者中,43.1%的研究人群被诊断为具有特发性病因。30.6%的人患有外伤性虹膜睫状体炎。其次是术后葡萄膜炎,占研究人群的8.3%。该研究还描述了其他各种病因,包括COVID疫苗接种、恙虫病和乳腺癌转移。虽然HLA-B27关联在其他研究中很常见,但在本研究中,2.8%的研究人群受到影响。结论:在前葡萄膜炎的情况下,系统地评估患者是至关重要的,因为大多数患者的病因与自身免疫性疾病或感染性病因有关。发现并治疗系统性关联可预防复发。
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Etiological distribution of anterior uveitis in a tertiary care centre at Tamil Nadu
Aim: This study aims to establish the etiological distribution of Anterior Uveitis at a tertiary care centre at Tamilnadu. Study: A Prospective Descriptive type of observational study. Material and Methods:72 patients presented to the Department of Ophthalmology at Rajah Muthiah Medical College and Hospital, who had been diagnosed with a clinical diagnosis of Anterior Uveitis were examined clinically with a slit lamp and binocular Indirect ophthalmoscopy Patients were investigated appropriately with a follow up period of 6 months. Results: Out of 72 patients diagnosed with Anterior Uveitis, 43.1% of Study Population were diagnosed as having idiopathic etiological factor. 30.6% of the population was affected by Traumatic Iridocyclitis. Followed by Post operative uveitis accounting 8.3% study population. Various other etiology including COVID vaccination, Scrub typhus and Metastasis from breast cancer had also been described in this study. Though HLA-B27 association was common in other studies, in this study 2.8% of the study population were affected. Conclusion: In case of Anterior uveitis, it is vital to evaluate the patient systematically as most often patient have an etiological factor has been associated with either an autoimmune condition or an infectious etiology. Recurrences can be prevented on detecting and treating the systemic association.
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