Abstract
INCIDENCE, ETIOLOGY AND MANAGEMENT OF ACUTE ANTERIOR UVEITIS: A HOSPITAL BASED STUDY

Dr. Bishnu Prasad Mishra, Dr. Santosh Kumar Sahu, Dr. Choubarga Naik* and Dr. Subha Soumya Dany

ABSTRACT

Introduction: Anterior uveitis is a sight-threatening eye condition that must be diagnosed and treated early by ophthalmologists. Due to its association with potentially serious systemic disease and when undetected can cause loss of vision, the importance of awareness about this entity to primary eye care physician is a public health concern. So with the limitation of a hospital based study the present study was done to find out the incidence, etiology, and management protocol of cases of acute anterior uveitis based on the investigations and clinical features. Materials and Methodology: A prospective clinical study was conducted in Deparment of Ophthalmology, District Headquarter Hospital, Balangir, Odisha. Based on set inclusion and exclusion criteria 113 patients with anterior uveitis were recruited into the study. Detail clinical history, visual acuity, clinical findings, laboratory investigation findings, serological, biochemical and radiographic findings were noted on a pre-designed proforma. Based on etiologic diagnosis relevant treatment was given and patients were followed up for 6 months for treatment outcomes and complications. Results: A total of 113 subjects (56.64 % male and 43.36% female) were enrolled. Most commonly affected age group was 31-40 (38.05%). Most of the cases were unilateral (86.73%), acute (74.34%) and non-granulomatous (90.27%). A highly significant (p=0.000) effect of the treatment was recorded after 2 and 6 weeks. Conclusion: Acute anterior uveitis is mostly involved in middle aged persons and in majority of cases (56.25%) it responded well to good visual outcome (6/9 or better) after adequate treatment.

Keywords: Anterior uveitis, ophthalmologists.


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