Changing trends in idiopathic retinal vasculitis in a tertiary eye care centre of Nepal over a ten-year period

Authors

  • R Sitaula Kharel Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu
  • S Aryal Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu
  • S N Joshi Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu
  • J K Shrestha Department of Ophthalmology, BP Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu

DOI:

https://doi.org/10.3126/nepjoph.v4i2.6541

Keywords:

Eales’ disease, steroid, tuberculosis, vitreous haemorrhage

Abstract

Objectives: To study the demographic profile, clinical presentations, management and visual outcome of retinal vasculitis in a tertiary eye care center of Nepal

Materials and methods: A retrospective, record based study of retinal vasculitis cases in the retina clinic of a tertiary care centre in Nepal from January 2009 to January 2011 was carried out. Results of the study were compared to those from the study conducted in a similar set- up between 1998 and 2000.

Results: Sixty-nine eyes of 51affected patients were evaluated in the study. The male/female ratio was 2.64:1 vs 19:1 a decade ago (p=0.0027). The mean age of the patients was 33.53 ± 12.29 years in the present study. Bilateral ocular involvement was present in 18 cases (35.3%) vs 56.14% in the past decade (p=0044).The common symptoms were dimness of vision (29.4%), floaters (25.5 %) and flashes of light (3.92%). Seventy-one eyes (69.6%) had the best corrected visual acuity of 6/18 or better. Four eyes (3.92 %) had no light perception. Vascular sheathing was the most common finding (32.35%), followed by vitritis (30.39%). Corticosteroids were primarily used to manage retinal vasculitis (39.21%). No association of retinal vasculitis with tuberculosis was found.

Conclusion: The demographic pattern and clinical presentation of idiopathic retinal vasculitis has changed over a decade period in Nepal.

DOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6541

Nepal J Ophthalmol 2012; 4 (2): 256-262

 

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Published

2012-07-26

How to Cite

Kharel, R. S., Aryal, S., Joshi, S. N., & Shrestha, J. K. (2012). Changing trends in idiopathic retinal vasculitis in a tertiary eye care centre of Nepal over a ten-year period. Nepalese Journal of Ophthalmology, 4(2), 256–262. https://doi.org/10.3126/nepjoph.v4i2.6541

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Original Articles