Herpetic Anterior Uveitis Multicentre Longitudinal Study (The UVHER Project). Baseline Characteristics.

Autor: Valsero Franco S; Department of Ophthalmology, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Barakaldo, Spain., Bernal-Morales C; Department of Ophthalmology, Clinic Hospital, Barcelona, Spain., Santos Zorrozua B; Department of Biostatistics, BioCruces Health Research Institute, Bilbao, Spain., Aranzamendi Zalmumbide M; Department of Microbiology, Cruces University Hospital, Bilbao, Spain., Artaraz Beobide J; Department of Ophthalmology, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Barakaldo, Spain., Sainz-de-la-Maza M; Department of Ophthalmology, Clinic Hospital, Barcelona, Spain., Llorenç V; Department of Ophthalmology, Clinic Hospital, Barcelona, Spain., Adan A; Department of Ophthalmology, Clinic Hospital, Barcelona, Spain., Fonollosa A; Department of Ophthalmology, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Barakaldo, Spain.; Department of Retina, Instituto Oftalmológico Bilbao, Bilbao, Spain.
Jazyk: angličtina
Zdroj: Ocular immunology and inflammation [Ocul Immunol Inflamm] 2023 Sep; Vol. 31 (7), pp. 1497-1504. Date of Electronic Publication: 2022 Aug 01.
DOI: 10.1080/09273948.2022.2103829
Abstrakt: Purpose: The aim of the UVHER project is to evaluate the risk of development of optic nerve damage in patients with herpetic anterior uveitis (AU) prospectively followed over 2 years. Herein, we described the baseline characteristics.
Methods: This is a multicentre, prospective study. An aqueous humour tap was performed. Only patients with a positive PCR were included. Clinical characteristics, optical coherence tomography (OCT) parameters and visual field (VF) abnormalities were registered.
Results: 27 patients were included: 18 Herpes Simplex (HSV), one Varicella Zoster (VVZ), and 8Cytomegalovirus (CMV). Patients with HSV-AU had severe inflammation, iris atrophy and corneal involvement. In patients with CMV-AU, less inflammation and medium-to-large keratic precipitates were observed. OCT showed a thinner RNFL and GCL in CMV-AU patients in comparison to HSV patients. VF showed abnormalities in six cases.
Conclusions: Patients in the UVHER cohort showed the typical clinical manifestations of herpetic AU. In CMV patients, optic nerve damage was observed at baseline, and in HSV patients, inflammation was more severe.
Databáze: MEDLINE
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