ROMATOİD ARTRİTTE GÖZ BULGULARI: FARKLI OLGULAR VE ORANLARI

Yasemin Fatma Çeti̇nkaya
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Abstract

Objective: The aim of this study is to determine the accompanying ocular findings, frequency and to examine the complications in Rheumatoid Arthritis (RA) patients. Method: Medical records of Rheumatoid Arthritis patients who were consulted with the eye clinic between 2017 and 2022, were retrospectively reviewed. Demographic features, eye examination findings, and detected eye diseases were noted. Results: The records of 23840 Rheumatoid Arthritis and related patients who were consulted with the Eye Clinic were reviewed. From these patient records, 2691 patients, who were especially diagnosed with seropositive Rheumatoid Arthritis, were evaluated in detail within the scope of the study. Ophthalmological examination findings obtained from the records were examined. In particular, anterior segment biomicroscopy, Schirmer test, tear break-up time (BUT) and fundus examination was evaluated. 2067 of the patients were female and 624 were male. And the mean age was examined. When the average age is examined; patients aged 41-65 years were the most common (1795 patients (1374 women, 421 men)). The most common sign of ocular involvement was a dry eye(%25.97). Less frequently, episcleritis was found in 4.57% of patients, and scleritis was found in 1.37%. There were no patients with posterior or necrotizing scleritis among the patients examined. In addition, posterior scleritis of the cornea, scleromalacia, or retinal vasculitis were not detected in our patients. Conclusion: Rheumatoid Arthritis is a disease that can progress with extra-articular findings and may even appear as the first finding. Ocular findings may accompany the disease at a considerable rate. It can also affect the prognosis of the disease with the right perspective.
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目的:本研究的目的是确定类风湿关节炎(RA)患者伴随的眼部表现,频率和检查并发症。方法:回顾性分析2017 ~ 2022年我院眼科就诊的类风湿关节炎患者的病历。记录了人口统计学特征、眼科检查结果和检测到的眼病。结果:回顾我院眼科门诊就诊的23840例类风湿关节炎及相关患者的资料。从这些患者记录中,2691例确诊为血清阳性类风湿关节炎的患者在研究范围内被详细评估。检查从记录中获得的眼科检查结果。特别是前节生物显微镜、Schirmer试验、泪液破裂时间(BUT)和眼底检查。其中女性2067例,男性624例。并检查了平均年龄。当检查平均年龄时;41-65岁患者最为常见(1795例,其中女性1374例,男性421例)。眼部受累最常见的症状是干眼(%25.97)。较少见的是4.57%的患者出现外巩膜炎,1.37%的患者出现巩膜炎。检查的患者中没有后路或坏死性巩膜炎患者。此外,我们的患者中未发现角膜后巩膜炎、硬化症或视网膜血管炎。结论:类风湿关节炎是一种可以进展为关节外表现的疾病,甚至可能作为第一发现出现。眼部的表现在很大程度上可伴随此病。它还可以影响疾病的预后,正确的观点。
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