Produção Nacional
Longterm follow‐up of patients with multifocal choroiditis and panuveitis
2004; Wiley; Volume: 82; Issue: 6 Linguagem: Inglês
10.1111/j.1600-0420.2004.00343.x
ISSN1600-0420
AutoresRaul N. G. Vianna, Pınar Özdal, J.P. Souza Filho, Marcelo Palis Ventura, Vinicius S. Saraiva, Jean Deschênes,
Tópico(s)Retinal Diseases and Treatments
ResumoAbstract. Purpose: To report the visual prognosis and longterm complications in patients with multifocal choroiditis and panuveitis (MCP). Methods: A retrospective study was performed with patients who met inclusion criteria for MCP at the Uveitis Clinic, Royal Victoria Hospital, McGill University, Montreal, Canada. Information collected included duration of follow‐up, visual acuity (VA) measured at each clinical visit, ocular and systemic treatment and ocular complications observed during follow‐up. Results: Nineteen patients (37 eyes) with MCP with a mean follow‐up of 76.9 months were studied. Kaplan−Meier survival analysis showed a decrease in the proportion of patients with a final VA ≥ 20/40 over time. Cystoid macular oedema was seen in 29.7% of the eyes and was the most frequent macular abnormality observed in our group. On the other hand, choroidal neovascularization was detected in only six (16.2%) of the eyes, but was related to VA < 20/200 in four of these eyes. Glaucoma was detected in 10.8% of the eyes. Cataract (posterior subcapsular and/or nuclear) was the most common longterm complication, occurring in 40% of affected eyes. Cataract surgery improved the VA in 83.3% of these eyes. Conclusion: The visual acuity of patients with MCP decreases with time. Visual loss can occur from complications following the inflammation itself and/or iatrogenic induced by the chronic use of corticosteroids.
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