The diagnosis and treatment analysis of anterior uveitis

Objective To investigate the clinical characters,effects of treatment,prognosis of visual acuity and the problems in the treatment of anterior uveitis patients.Methods The retrospective case series study.Collecting 109 cases of anterior uveitis from October 2012 to June 2013 in Tianjin Eye Hospital,there were 52 cases of male and 57 cases of female.The mean age was (41± 15) years old.Through clinical examination,laboratory tests and treatment observation,the clinical characters,effects of treatment,complications and prognosis of the anterior uveitis were analyzed.Results In 109 patients,there were 39 cases (35.8％) with acute anterior uveitis,15 (13.8％) with recurrent anterior uveitis and 55 (50.5％) with chronic anterior uveitis.There were 52 cases (47.7％) with idiopathic uveitis,11 (10.1％) with herpetic uveitis,5 (4.6％) with Fuchs syndrome and 3 (2.8％) with glaucomatocyclitic crisis,22 (20.2％) with seronegative spondyloarthropathy,8 (7.3％) with diabetes mellitus,4 (3.7％) with rheumatoid arthritis and 3 (2.8％) with juvenile idiopathic arthritis based on the etiological classification.The rate of complications was 34.9％ (38 cases),the mild visual impairment (less than 0.5) was 7.3％ (8 cases),the moderate and severe visual impairment (less than 0.3) was 6.4％ (7 cases),and the blindness (less than 0.05) was 1.8％ (2 cases).Conclusions The types of anterior uveitis are varied.Idiopathic anterior uveitis,seronegative spondyloarthropathy associated uveitis and herpetic uveitis are the common entities.Acute anterior uveitis is easy to relapse,but vision prognosis is often good,but the chronic inflammation often leads to the severe visual impairment or blindness. Key words: Anterior uveitis ;  Seronegative spondyloarthropathy ;  Vision prognosis ;