Pattern of uveitis in a referral ophthalmology center in Northeastern Thailand.

IF 2.3 Q1 OPHTHALMOLOGY Journal of Ophthalmic Inflammation and Infection Pub Date : 2024-05-31 DOI:10.1186/s12348-024-00400-6

Trakanta Wannapanich, Waraporn Chuenchaem, Patanaree Luanratanakorn, Wipada Laovirojjanakul

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Abstract

Purpose: To report the characteristics and epidemiology of uveitis in a university-based referral center in northeastern Thailand and review the uveitis patterns present in various regions worldwide.

Methods: A retrospective review of all medical records for new patients visiting the uveitis clinic at Srinagarind hospital, Khon Kaen University, between August 2016 and June 2021, was conducted.

Results: A total of 522 uveitis patients were included in this study. Disease etiologies were categorized as non-infectious 35.8% (187/522), infectious 32.8% (171/522), and undetermined cause 31.4% (164/522). Specific diagnoses were established in 68.6% of cases. Vogt-Koyanagi-Harada (VKH) (14.2%) was identified as the most common specific diagnosis, and tuberculosis (6.7%) ranked highest among infectious causes.

Conclusions: Although non-infectious uveitis is observed predominantly in this region, the proportion of infectious uveitis is relatively more common than in developed countries. We have found no cause for one-third of our patients despite the utilization of PCR and serology for diagnostic purposes.

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泰国东北部一家眼科转诊中心的葡萄膜炎发病模式。

目的：报告泰国东北部一所大学转诊中心葡萄膜炎的特征和流行病学，并回顾世界各地葡萄膜炎的发病模式：方法：对2016年8月至2021年6月期间到孔敬大学斯利那加林医院葡萄膜炎诊所就诊的所有新患者的病历进行回顾性审查：本研究共纳入了 522 名葡萄膜炎患者。病因分为非感染性35.8%（187/522）、感染性32.8%（171/522）和病因不明31.4%（164/522）。68.6%的病例确定了具体诊断。Vogt-Koyanagi-Harada（VKH）（14.2%）被确定为最常见的具体诊断，结核（6.7%）在感染性病因中排名第一：结论：虽然非感染性葡萄膜炎主要发生在该地区，但感染性葡萄膜炎的比例相对高于发达国家。尽管我们使用 PCR 和血清学进行诊断，但仍有三分之一的患者找不到病因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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