Uveitis natural history, complications and prognosis: Difference between revisions

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Revision as of 19:49, 1 August 2016

Uveitis Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Uveitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

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Treatment

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Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]

Overview

Natural history

If left untreated, uveitis can progress to permanent vision loss. Uveitis is estimated to be responsible for approximately 10% of the blindness in the western world.[1][2][3]

Complications

Possible complications of uveitis include:[4][5]

Prognosis

The prognosis is generally good for those who receive prompt diagnosis and treatment, but serious complication (including cataracts, glaucoma, band keratopathy, retinal edema and permanent vision loss) may result if left untreated. The type of uveitis, as well as its severity, duration, and responsiveness to treatment or any associated illnesses, all factor come into the outlook.[6] With proper treatment, most attacks of anterior uveitis go away in a few days to weeks. However, relapses are common. Inflammation related to posterior uveitis may last from months to years and may cause permanent vision damage, even with treatment.

References

  1. McCluskey PJ, Towler HM, Lightman S (2000). "Management of chronic uveitis". BMJ. 320 (7234): 555–8. PMC 1117601. PMID 10688564.
  2. Rothova A, Suttorp-van Schulten MS, Frits Treffers W, Kijlstra A (1996). "Causes and frequency of blindness in patients with intraocular inflammatory disease". Br J Ophthalmol. 80 (4): 332–6. PMC 505460. PMID 8703885.
  3. Nussenblatt RB (1990). "The natural history of uveitis". Int Ophthalmol. 14 (5–6): 303–8. PMID 2249907.
  4. Dick AD, Tundia N, Sorg R, Zhao C, Chao J, Joshi A; et al. (2016). "Risk of Ocular Complications in Patients with Noninfectious Intermediate Uveitis, Posterior Uveitis, or Panuveitis". Ophthalmology. 123 (3): 655–62. doi:10.1016/j.ophtha.2015.10.028. PMID 26712559.
  5. Maini R, O'Sullivan J, Reddy A, Watson S, Edelsten C (2004). "The risk of complications of uveitis in a district hospital cohort". Br J Ophthalmol. 88 (4): 512–7. PMC 1772087. PMID 15031168.
  6. Prognosis of Uveitis (2010)http://www.intelihealth.com/IH/ihtIH/EMIHC000/9339/10942.html

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