PREVALENCE AND CLINICAL CHARACTERISTIC OF UVEITIS IN PATIENTS WITH ANKYLOSING SPONDYLITIS

M. Mirković ,
M. Mirković

Clinic of eye diseases, Medical faculty Priština , Kosovska Mitrovica , Kosovo*

Z. Petković ,
Z. Petković

Internal clinic, Medical faculty Priština , Kosovska Mitrovica , Kosovo*

V. Jakšiċ ,
V. Jakšiċ

Clinic of eye diseases, Medical faculty Priština , Kosovska Mitrovica , Kosovo*

D. Vukša ,
D. Vukša

Clinic of eye diseases, Medical faculty Priština , Kosovska Mitrovica , Kosovo*

D. Stamenković ,
D. Stamenković

Clinic of eye diseases, Medical faculty Priština , Kosovska Mitrovica , Kosovo*

O. Ðokić
O. Ðokić

Clinic of eye diseases, Medical faculty Priština , Kosovska Mitrovica , Kosovo*

Published: 01.12.2010.

Volume 38, Issue 2 (2010)

pp. 85-88;

https://doi.org/10.70949/pramed201002369M

Abstract

Ankylosing spondylitis is a chronic rheumatoid inflammation with characteristic synovitis of sacroiliac joints and vertebrae of spinal column and fewer coxofemoral and glenohumeral and periferal joints. The disease is of an unknown etiology and shows strong correlation with histocompatibile antigene HLA-B27 wich is found in 90% AS diseased patients. Acute anterior uveitis is the most frequent extra-articular manifestation, it can precede spondylitis and is found in at least 20% AS diseased patients. Acute anterior uveitis is mostly bilateral, with recidives and in inadequate treatments results in complicate cataract and secondary glaucoma. Out of 41 patients with ankylosing spondylitis 36 (87.8%) is of male , and 5 (12.1%) female sex (ratio 9:1). The youngest patient was 25 and the oldest 69 years of age, average age of the diseased was 38.45. Acute anterior uvetis is found in 11, that is 26.8% diseased patients. The length of uveitis is approximately 28+/- 10 days. In 7 patients (63.64%) AAU is found in both eyes. Out of 11 patients with with AAU, 3 patients (27.27%) had more than first attack,7 (63.64%) had 1-5 recidives, and only 1 patient had more than 5 recidives. The most frequent type of exudation is serofibrose (77.78%), then follows fibropurulent-hypopyon (16.67%) and serose (5.55%). Out of 18 eyes, in 14 (77.78%) back synechies were formed. However, these synechies are in most cases broken by the use adequate therapy.

Keywords

References

1.
Babu K, Murthy KR. Hypopyon Uveitis Following Band Keratopathy Removal in Ankylosing Spondylitis—A Case Report. Ocular Immunology and Inflammation. 14(1):57–8.
2.
Cojocaru VM, Ciurtin C, Pop M, Tomi A, Grecu P. Ophthalmological Involvement in Rheumatic Disease. Oftalmologia. 50(2):56–61.
3.
Chung YM, Liao HT, Lin KC, Lin YC, Chou CT, Chen CH, et al. Prevalence of Spondyloarthritis in 504 Patients with HLA B27-Associated Acute Anterior Uveitis. Scandinavian Journal of Rheumatology. 38(2):84–90.
4.
Kanski JJ. Clinical Ophthalmology.
5.
Kovačević D. Očne Promene u Toku Bechterewa. Magistarski rad Med Fak Univerziteta u Beogradu.

Citation

Copyright

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Most read articles

Indexed by