KHẢO SÁT CÁC ĐẶC ĐIỂM DỊCH TỄ HỌC CỦA VIÊM MÀNG BỒ ĐÀO

Abstract

Purpose: To identify the etiologies, and clinical manifestations of aldulthood uveitis at a tetiary eye hospital in Ho Chi Minh City, Vietnam. Method: A cross-sectional survey was conducted at the Department of Retina and Vitreous, Ho Chi Minh City Eye Hospital, Vietnam between December 2022 to May 2023. The patients underwent a comprehensive opthalmic examination and laboratory tests as per identical protocol. The main outcomes included: age, gender, geographic distribution, clinical manifestation, anatomical localisation, and etiology of the disease. Result: A total of 96 cases with uveitis diagnosis were included in the surveys. The mean age was 41,64 ± 14,5 years (ranged between 19 years and 71 years) with 61 males (63,5%). Approximately two out of three patients presented with unilateral involvement. Posterior uvetis was the most common (43,7%), followed by anterior uveitis (31,3%), panuveitis (20,8%), and intermediate uveitis (4,2%). The proportion of infectious uveitis (47,9%) was higher than nonifectious uveitis (33,3%) and idiopathic uveitis (18,8%). CMV retinitis was found to be positive in 34,8% of the infectious etiologies, followed by HSV (23,9%) and Tuberculosis (19,6%), while the most common etiologies in the non-infectious group were VKH disease (31,2%), Posner-Schlossman syndrome (21,9%), and sympathetic opthalmia (12,5%). Macular edema was the complication most frequently identified all the cases. Conclusion: The cross-sectinal survey preliminary advocated the posterior localisation to be the most common manifestation in adulthood uveitis in Ho Chi Minh City, Vietnam. Infectious uveitis was more frequently identified with the highest prevalence of CMV retinitis, Herpes Simplex, and Tuberculosis than non-infectious etiologies.