Posterior segment involvement in Korean patients with HLA-B27-associated uveitis

Ocul Immunol Inflamm. 2009 Jan-Feb;17(1):26-32. doi: 10.1080/09273940802553261.

Abstract

Purpose: To compare clinical characteristics and visual prognosis between HLA-B27-associated uveitis patients with and without posterior segment involvement.

Methods: Medical records of 78 patients with HLA-B27-associated uveitis were retrospectively analyzed.

Results: Neither demographic nor clinical characteristics were associated with the presence of posterior segment involvement. In patients with posterior segment involvement, more aggressive therapeutic strategies, including immunomodulatory therapy, were frequently required. The rate of visual acuity 20/50 or worse was higher in patients with posterior involvement than in patients without posterior involvement.

Conclusion: Patients with posterior segment involvement showed worse visual outcome than patients without posterior involvement.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Azathioprine / therapeutic use
  • Cyclosporine / therapeutic use
  • Drug Therapy, Combination
  • Eye Diseases / diagnosis
  • Eye Diseases / drug therapy
  • Eye Diseases / immunology
  • Female
  • Glucocorticoids / therapeutic use
  • HLA-B27 Antigen / immunology*
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Korea
  • Macular Edema / diagnosis
  • Macular Edema / drug therapy
  • Macular Edema / immunology
  • Male
  • Middle Aged
  • Prognosis
  • Retinal Vasculitis / diagnosis
  • Retinal Vasculitis / drug therapy
  • Retinal Vasculitis / immunology
  • Retrospective Studies
  • Uveitis, Posterior / diagnosis*
  • Uveitis, Posterior / drug therapy
  • Uveitis, Posterior / immunology
  • Visual Acuity / physiology
  • Vitreous Body / drug effects
  • Vitreous Body / immunology
  • Vitreous Body / pathology
  • Young Adult

Substances

  • Glucocorticoids
  • HLA-B27 Antigen
  • Immunosuppressive Agents
  • Cyclosporine
  • Azathioprine