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Ten Years of Epidemiological and Diagnostic Aspects of Non-Traumatic Anterior Uveitis at Campus Teaching Hospital of Lome-Togo

DOI: 10.4236/ojoph.2023.133027, PP. 280-287

Keywords: Anterior Uveitis, Non-Traumatic, Epidemiology, Etiology, Lome

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Abstract:

Background: Uveitis is a serious disease which dangerous complications can jeopardize the visual prognosis. Anterior uveitis (AU) is the inflammation of the anterior uvea which is composed of the iris and the ciliary body. The objective of the study was to identify the epidemiological and etiological determinants of non-traumatic anterior uveitis at the Campus Teaching Hospital of Lomé. Materials and Methods: Retrospective cross-sectional study of the records of patients diagnosed with anterior uveitis (AU) without a notion of trauma in the ophthalmology department of CHU Campus of Lomé from January 1, 2010 to December 31, 2019 (10 years). Results: 141 cases of uveitis, representing a prevalence of 0.18%. Female predominance, with a sex ratio of 0.76. Mean age was 34.74 ± 13.20 years. Decreased visual acuity was the primary complaint (34.40%), followed by ocular pain (28%). Non-traumatic anterior uveitis was unilateral in 87.2% of cases. Retro-corneal precipitates were present in all patients. 61.60% of patients had Tyndall in the anterior chamber. The etiology of non-traumatic AU was undetermined in 76.80% of cases. Toxoplasmosis, tuberculosis and syphilis were the main etiologies found. Conclusion: Non-traumatic anterior uveitis is relatively rare but serious, often affecting young subjects. It is a pathology that engages eye health professionals, not only because of the difficulties involved in diagnosing the etiology, but also because of its progression which sometimes leads to blindness.

References

[1]  Yanoff, M. and Duker, J.S. (2008) Ophthalmology. 3rd Edition, Elsevier, St. Louis.
[2]  Bowling, B. (2016) Kanski’s Clinical Ophthalmology. 8th Edition, Elsevier Limited, Sydney.
[3]  Bonnet, C. and Brezin, A. (2020) Uvéites, éléments d’orientation diagnostique. Journal Français d’Ophtalmologie, 43, 145-151.
https://doi.org/10.1016/j.jfo.2019.03.038
[4]  Moussala, M., Missipo, N.O. and Keutchemou, P. (1989) La pathologie oculaire dans l’Ouest Cameroun. Médecine d’Afrique Noire, 36, 857-860.
[5]  Suttorp-Schutten, M.S. and Rothova, A. (1996) The Possible Impact of Uveitis in Blindness a Literature Survey. British Journal of Ophthalmology, 80, 844-848.
https://doi.org/10.1136/bjo.80.9.844
[6]  Gueudry, J. and Muraine, M. (2018) Uvéites antérieures. Journal Français d’Ophtalmologie, 41, e11-e21. https://doi.org/10.1016/j.jfo.2017.06.012
[7]  Moussala, M., Kouda Zeh, A., Machia, S., Bitang, L.J., Mc Moli, T.E. and Moukouri, E. (1997) Les uvéites en milieu camerounais (à propos de 55 patients étudiés à Yaoundé): Formes cliniques selon le siège et retentissement fonctionnel. Médecine d’Afrique Noire, 44, 331-333.
[8]  Jabs, A.D., Nussenblatt, B.R., Rosenbaum, J.J. and Standardization of Uveitis Nomenclature (SUN) Working Group (2005) Standardization of Uveitis Nomenclature for Reporting Clinical Data. Results of the First International Workshop. American Journal of Ophthalmology, 140, 509-516.
https://doi.org/10.1016/j.ajo.2005.03.057
[9]  Assavedo, R., Tchabi, S., Abdoulaye, H. and Doutetien, C. (2014) Aspects épidémio-logiques et cliniques des uvéites. Revue SOAO, 2, 7-11.
[10]  Sounouvou, I., Tchabi, S., Doutretien, C., Deguenon, J., Yehouessi, L. and Bassabi, S.K. (2004) Les uvéites au centre national hospitalier universitaire de Cotonou. Le Benin Médical, 28, 19-33.
[11]  Nguyen, A.-M., Sève, P., Le Scanff, J., Gambrelle, J., Fleury, J., Broussolle, C., et al. (2011) Aspects cliniques et étiologiques des uvéites: Etude rétrospective de 121 patients adressés à un centre tertiaire d’ophtalmologie. La Revue de Médecine Interne, 32, 9-16. https://doi.org/10.1016/j.revmed.2010.07.020
[12]  Ayena, D., Assavedo, D., Nagbe, E., Zonvide, D., Amedome, M., Tete, Y., et al. (2017) Profil épidémiologique, clinique et thérapeutique des uvéites à Boko et à Parakou au nord du Bénin. Revue SOAO, 1, 49-54.
[13]  Koffi, K.V., Kouassi, A.C., Effi, H., Safede, K. and Keita, C.T. (2001) Les uvéites: Profil épidémiologique, clinique et thérapeutique au CHU Cocody (Abidjan-Cote d’Ivoire). Médecine d’Afrique Noire, 48, 67-72.
[14]  Chung, H. and Choi, D.G. (1989) Clinical Analysis of Uveitis. Korean Journal of Ophthalmology, 3, 33-37. https://doi.org/10.3341/kjo.1989.3.1.33
[15]  Wakefield, D. and Chang, J. (2005) Epidemiology of Uveitis. International Ophthalmology Clinics, 45, 1-13. https://doi.org/10.1097/01.iio.0000155938.83083.94
[16]  Darrell, R.W., Wagner, H.P. and Kurland, L.T. (1962) Epidemiology of Uveitis. Archives of Ophthalmology, 68, 502-515.
https://doi.org/10.1001/archopht.1962.00960030506014
[17]  Levecq, L., Disneur, D., Dutrieux, C. and Snyers, B. (1999) Etiologies of Intermediate, Posterior, and Panvuveitis: A Review of 201 Cases. Bulletin de la Societe Belge d’Ophtalmologie, 273, 9-14.
[18]  Souley, A.S.Y., Abdellah, H.O.M., Khmamouche, M., Naji, A.A., Elasri, E.O.N.F., Reda, K., et al. (2016) Profil épidémiologique des uvéites à propos de 105 cas. The Pan African Medical Journal, 27, Article No. 97.
https://doi.org/10.11604/pamj.2016.24.97.9188
[19]  Maalouf, Z., Osta, F., Haddad, G. and Maalouly, G. (2017) Uvéites: Aspects cliniques et étiologiques. La Revue de Médecine Interne, 38, 145-146.
https://doi.org/10.1016/j.revmed.2017.10.081
[20]  Chebil, A., Baroudi, B., Slim, M., Cheiker, N., Lamloum, M., Bouladi, M., et al. (2013) Profil épidémiologique des uvéites dans la région de Tunis. Journal Français d’Ophtalmologie, 36, 764-768. https://doi.org/10.1016/j.jfo.2013.05.006

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