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Marwan A. Abouammoh مروان بن عبدالرحمن أبوعمه

Professor

أستاذ واستشاري

كلية الطب
King Abdulaziz University Hospital
المنشورات
مقال فى مجلة
2017

Presumed tuberculous uveitis in a university-based tertiary referral center in Saudi Arabia

Purpose To describe clinical characteristics and outcomes of treatment in patients with presumed tuberculous uveitis (PTU).
Methods All patients diagnosed with PTU between January 1996 and March 2013 were reviewed. The diagnosis was made when clinical findings were consistent with possible intraocular tuberculosis, strongly positive purified protein derivative (PPD) skin test result, and response to anti-tuberculous therapy with no other cause of uveitis as suggested by history, symptoms, or ancillary testing.

Results Ninety patients (141 eyes) were identified. There were 43 males (47.3%) and 47 females (52.7%).

Mean age was 48.2 ± 14.4 years. Mean duration of symptoms prior to presentation was 6.7 ± 8.3 months. Ten eyes (7.1%) had anterior uveitis, 18 eyes (12.8%) had intermediate uveitis, 34 eyes (24.1%) had posterior uveitis, and 79 eyes (56%) had panuveitis. Macular edema was present in 33.3% of the eyes at presentation. All patients received anti- tuberculous therapy and systemic corticosteroids. Mean follow-up after completion of therapy was 36 ± 2.5 months. Only 2 eyes developed recurrent inflammation after treatment completion. At last follow-up, all eyes showed resolution of inflammation, associated with significant improvement in visual acuity. There was a significant positive correlation between initial and final VA. Eyes that had macular edema at presentation showed a significant reduction in central macular thickness at final follow-up. Conclusions There is delay in presentation of patients with PTU. The most common anatomic diagnosis was panuveitis. Treatment with anti-tuber- culous therapy combined with systemic corticos- teroids resulted in resolution of inflammation and macular edema with significant improvement in visual acuity.

مزيد من المنشورات
publications

Purpose To describe clinical characteristics and outcomes of treatment in patients with presumed tuberculous uveitis (PTU).

2017
publications
بواسطة Abu El-Asrar AM, Abouammoh M, & Al-Mezaine HS.
2014
تم النشر فى:
Springer
publications
بواسطة Abouammoh M, Al-Mezaine HS, & Abu El-Asrar AM.
2014
تم النشر فى:
Springer