Anshu Sharma1, Sarita Aggarwal2, Rimsha Thaseen3, Rahul Sahay4, Richa Ahluwalia5
Anterior uveitis is the most common cause of intraocular inflammation. Its aetiological pattern varies in different countries across the globe. It causes reduction in the vision during the acute stage, but if left untreated, the sequelae of anterior uveitis can have long-lasting impact.
The aim of the present study is to evaluate the pattern of anterior uveitis in the Ghaziabad region of Delhi NCR.
MATERIALS AND METHODS
A prospective cross-sectional study was conducted on 100 patients of anterior uveitis in the Outpatient Department of Ophthalmology at Santosh Medical College and Hospital, Ghaziabad, between January 2016 and June 2017. Information regarding age, gender, race, details of ocular examination, investigations, diagnosis and systemic disease association, if any were recorded for all patients.
In this study, aetiology remain undetermined in 39% cases. Anterior uveitis following blunt trauma was seen in 28% and HLA-B27 uveitis was detected in 12% cases. Herpes was responsible in 6% cases and tuberculosis in 2% case. Fuchs heterochromic iridocyclitis in 4% cases, spondyloarthropathy in 4% cases, juvenile idiopathic arthritis was observed in 3% cases and phacolytic in 2% cases.
Despite efforts, diagnosis remained obscure in 42% of the cases. Blunt trauma was the most common identifiable cause in 20% of the cases more so in labourers. The challenge in anterior uveitis is to develop tailored laboratory investigations that will facilitate a diagnosis. A thorough systemic examination should be done to rule out any systemic disease as it may be an early manifestation of systemic disease.