Clinical manifestations and risk factors for poor visual outcomes of ocular sarcoidosis in Taiwan.

Autor:	Lai IW; Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan., Lin CP; Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan., Hsieh YT; Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan., Yeh PT; Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan; Department of Ophthalmology, National Taiwan University Hospital, Hsin-Chu Branch, Taiwan. Electronic address: ptyeh67@ntu.edu.tw.
Jazyk:	angličtina
Zdroj:	Journal of the Formosan Medical Association = Taiwan yi zhi [J Formos Med Assoc] 2022 Aug; Vol. 121 (8), pp. 1560-1566. Date of Electronic Publication: 2022 Jan 11.
DOI:	10.1016/j.jfma.2021.12.032
Abstrakt:	Purpose: To assess ocular involvement in sarcoidosis and to analyze the manifestations of ocular sarcoidosis (OS) in Taiwan. Methods: A retrospective review was performed in 364 patients diagnosed as sarcoidosis at National Taiwan University Hospital from 2015 to 2019. The OS diagnosis was based on the revised criteria of International Workshop on Ocular Sarcoidosis. Demographics, clinical manifestations, treatment and effects, complications, visual outcomes and risk factors of poor vision (<20/200) were analyzed. Results: A total of 122 eyes of 66 patients (13 males and 53 females) with OS were identified. Bilateral involvement accounted for 84.8%. Thirty-five patients were diagnosed with definite OS, 14 with presumed OS and 17 with probable OS. The average age was 51.9 ± 14.1 years, with no significant difference in sex. Most patients presented with panuveitis (61 eyes, 50.0%) and posterior uveitis (52 eyes, 42.6%). Systemic steroid was the mainstay treatment, and immunosuppressants or anti-metabolic agents were supplemented. Common complications included cataract (50.8%), ocular hypertension/glaucoma (25.4%) and posterior synechiae (20.5%). Forty-three eyes (36.1%) and 74 eyes (62.2%) had a final vision of 20/20 and 20/40 or better, respectively. The causes of poor visual outcome were diverse, and generalized estimating equations analysis indicated that female and poor initial vision were risk factors. Conclusion: Uveitis is an early sign of sarcoidosis and it might result in several complications. The overall visual outcomes were good if patients received proper treatment. Both poor initial vision and females that tended to have more severe complications were associated with poor outcome. Competing Interests: Declaration of competing interest The authors report no conflicts of interest in this work. No author has a financial or proprietary interest in any material or method mentioned. (Copyright © 2022 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.)
Databáze:	MEDLINE
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