Publication: Intermediate uveitis: a hospital based study
Date
2004
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Intermediate uveitis affecting pars plana, peripheral retina and underlying choroid affects primarily healthy children
and young adults. Objective: To study the components of intermediate uveitis at Nepal Eye Hospital in the year
2003 August to 2004 March. Materials and Methods: A prospective study was done in patients with intermediate
uveitis visiting Nepal Eye Hospital. Sample size was 50. Specially designed proforma of intermediate uveitis was
used to collect particulars of the patients, history, clinical examination findings, investigation reports, management
protocols used and the final visual outcome. Results: Intermediate uveitis was seen more in 20 to 29 years age
group (38%) and more prevalent in males (52%). Among the study population farmers constituted maximum
proportion (36%) and Mongoloid origin was mostly affected (30%). High number of patients were from the central
development region with highest proportion from Dhading district (34%). Anterior segment affection with keratic
precipitates and anterior chamber cells were noted in 72% of involved eyes. Vitreous cells were noted in all affected
eyes while 4% had vitreous snow banking and 3% had vitreous snow balls. Most of the patients (52%) received
between topical steroid and posterior subtenon injection of Triamcinolone. Visual Acuity was improved in 52% of
cases and remained static in 46%.while deteriorated in 2%. Conclusion: Significantly high number of patients with
intermediate uveitis has been reported from the central development region, mainly from Dhading, Kathmandu and
Nuwakot districts. People in their third decade were found to be commonly involved and Mongloid origin were
more commonly affected. Anterior chamber spill over was seen in higher percentage of patients than described in
literature. As the patients presented in milder forms, visual acuity improved is 52% of cases with the treatment
protocol followed