Title: A Prospective Study on Ocular Manifestations in Different Varieties of Spondyloarthropathies
Authors: Dr Subhabrata Parida, Assoc Prof, Dr Gajal Pattnaik MS
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.160
Abstract
Background: Ocular inflammation is common in many rheumatologic diseases but with variable prevalence.
Aim: To clinically evaluate ocular manifestations of all patients diagnosed with Spondyloarthropathy attending the Regional Institute of Ophthalmology, S.C.B. Medical College & Hospital from September 2015 –October 2016
Materials & Methods: Patients for this study will be selected among Spondyloarthropathy, presenting to the Regional Institute of Ophthalmology,S.C.B. Medical College, Cuttack will be evaluated for any ocular manifestations.
Results: A total number of 207 spondyloarthropathy (SpA) patients were evaluated for ocular manifestations. The most common manifestation was found to be acute anterior uveitis (AAU) in almost all types of SpA with variable prevalence. In Ankylosing Spondilosis (AS) 53.70% had AAU, 28.70% had CAU (Chronic anterior uveitis), and 12.03% had dry eye features. In ReA (Reactive arthropathy) 37.50% had AAU, 16.66% had CAU (Chronic anterior uveitis), and 12.50% had dryeye features and 8.33% had Episcleritis. In Psoriatic arthropathy (PsA) 14.70% had AAU, 5.88% had CAU (Chronic anterior uveitis), and 8.82% had dryeye features and 17.64% had mild conjuctival congestion. In IBD associated arthropathy15.38% had AAU, 7.69% had CAU (Chronic anterior uveitis), 7.69% had Episcleritis and 7.69% had posterior segment finding (CME, cystoid macular edema). In Undifferentiated SpA 14.28% had AAU, 7.14% had CAU (Chronic anterior uveitis), and 3.57% had dryeye features and 7.14% Episcleritis.
Conclusion: In our study we found around 37.68% of SpA had AAU, 19.32% had CAU, 9.66% had dry eye features, 5.31% had Episcleritis and 10.62% had Conjuctival congestion.
Keywords- Spondyloarthritis, acute anterior uveitis, Episcleritis.
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