Patterns of Macular Edema in Uveitis as Diagnosed by Optical Coherence Tomography in Tertiary Eye Center
| Autor: | Lila Raj Puri, Dev Narayan Shah, Sharad Gupta, Manoj Aryal, Sagun Narayan Joshi |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity Adolescent genetic structures Fundus Oculi Visual Acuity Macular Edema Serous Retinal Detachment Tertiary Care Centers Uveitis Young Adult chemistry.chemical_compound Nepal Optical coherence tomography Ophthalmology Edema Humans Medicine Macula Lutea Fluorescein Angiography Macular edema Aged Retrospective Studies medicine.diagnostic_test business.industry Incidence Retinal General Medicine Middle Aged medicine.disease eye diseases Cross-Sectional Studies chemistry Intermediate uveitis Female sense organs medicine.symptom business Tomography Optical Coherence |
| Zdroj: | Nepalese Journal of Ophthalmology. 10:39-46 |
| ISSN: | 2091-0320 2072-6805 |
| DOI: | 10.3126/nepjoph.v10i1.21687 |
| Popis: | Aim: The aim of the study is to classify the patterns of uveitic macular edema using Optical Coherence Tomography as a diagnostic tool.Methodology: It is the Descriptive, cross-sectional study. All patients fulfilling the diagnostic criteria with Optical coherence tomography diagnosed macular edema were enrolled from 1 January 2012 to 30 June 2013. Patterns of uveitic macular edema were classified.Results: A total of 65 eyes of 47 patients were included. Twenty eight (59.57%) were male. The male to female ratio was 1.5:1. The mean age was 38 years (SD 14.68). Twenty nine patients (61.71%) had unilateral involvement and 18 (38.29%) had bilateral involvement. Forty five eyes of 33 cases (69.23%, 70.21%) had intermediate uveitis, followed by 10 eyes of 7 cases (15.38, 14.9%) of posterior uveitis, 6 eyes of 5 cases (9.23%, 10.63 %) of anterior uveitis and 4 eyes of 2 cases (6.16%,4.2%) of pan-uveitis. Patterns of macular edema were classified: diff use macular edema (DME), cystoid macular edema (CME) and serous retinal detachment (SRD) of which 35 (53.84%) eyes had CME. The etiological diagnosis was found in 7(14.90 %) out of 47 patients.Conclusion: A significant percentage of cases were idiopathic. Macular edema may go unnoticed unless OCT is performed. Macular detachment is an important feature of macular edema that affects visual acuity and is not readily detected by Fundus Fluorescein Angiography (FFA). Optical coherence tomography (OCT) is safe and non-invasive technique and has the potential for measuring changes in retinal thickness and axial extent of edema. |
| Databáze: | OpenAIRE |
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