Spectrum of and Factors Associated with Eye Disorders among Rheumatoid Arthritis Patients Attending Tertiary Hospital in Uganda.

Autor:	Headcraph E; Department of Ophthalmology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda., Atukunda I; Department of Ophthalmology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda., Kaddumukasa M; Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda., Nakiyingi L; Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda., Lusobya RC; Department of Ophthalmology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda., Ampaire-Musika A; Department of Ophthalmology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda., Otike C; Clinical Epidemiology Unit, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda., Nagawa E; Department of Ophthalmology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda., Juma P; Department of Ophthalmology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda., Msonge F; Department of Ophthalmology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda., Otiti-Sengeri J; Department of Ophthalmology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Jazyk:	angličtina
Zdroj:	Open access rheumatology : research and reviews [Open Access Rheumatol] 2023 Jul 13; Vol. 15, pp. 103-111. Date of Electronic Publication: 2023 Jul 13 (Print Publication: 2023).
DOI:	10.2147/OARRR.S413697
Abstrakt:	Background: Ocular morbidities associated with rheumatoid arthritis (RA) have not received much attention in Africa, particularly in sub-Saharan Africa. They are among the commonest (40%) extra-articular organ involvement in RA. If undiagnosed, there is a potential risk of them causing visual impairment or blindness. There is no documented study in Uganda on the magnitude of eye disorders among RA patients. Aim: To determine the spectrum of eye disorders and associated factors among patients with RA attending Mulago National Referral Hospital. Methods: A hospital based cross-sectional study was conducted among adults with RA attending the rheumatology clinic between July 2021 and September 2021. Clinical and sociodemographic data were collected, and ophthalmologic examinations were performed on all consenting participants. Modified Poisson regression with robust standard error was used to determine factors associated with eye disorders. Results: Overall, 105 patients with RA were enrolled, of which, 53 (50.5%) had eye disorders. The commonest disorder (54.7%, n=29) was dry-eye syndrome. Factors that were significantly associated with eye disorders were age 36-55 years (aPR 1.56, p =0.015), duration of RA >5 years (aPR 1.81, p =0.001), use of hydroxychloroquine >5 years (aPR 1.77, p =0.041), dose of oral steroids >10 mg/day (aPR 1.49, p =0.034), and history of both diabetes and hypertension (aPR 1.87, p =0.014). Conclusion: The prevalence of eye disorders among patients with RA was high, with the commonest being dry-eye syndrome. We recommend that ocular examinations be performed on every patient at the time of RA diagnosis for early detection of eye disorders. Competing Interests: The authors declare no competing interests. (© 2023 Headcraph et al.)
Databáze:	MEDLINE
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