Pre-eclampsia/Eclampsia as a Risk Factor of Noninfectious Uveitis Among Postdelivery Women

Am J Ophthalmol. 2019 Feb:198:166-173. doi: 10.1016/j.ajo.2018.10.009. Epub 2018 Oct 12.

Abstract

Purpose: We sought to analyze the incidence and risk of noninfectious uveitis (NIU) among postdelivery women with a history of pre-eclampsia/eclampsia (PEE).

Design: Population-based retrospective matched cohort study.

Methods: All participant data were retrieved from the Longitudinal Health Insurance Database 2005. Two thousand seventy-three postdelivery women ≥20 years of age were diagnosed with PEE between January 1, 1997 and December 31, 2012 and were included in the study. We traced the occurrence of NIU during 5 years of follow-up. The primary outcome measure was the occurrence of NIU with the use of anti-inflammatory drugs and adjudication by an ophthalmologist.

Results: NIU occurred in 14 of 2073 (0.7%) postdelivery women with PEE. The incidence rate of NIU was 1.5 and 0.5 per 1000 person-years among postdelivery women with and without PEE, respectively (incidence rate ratio 2.96 [95% confidence interval 1.48-5.90]; P = .002). Postdelivery women with PEE demonstrated a significant increase in the cumulative incidence of NIU compared with those without PEE (P = .001). The risk of the occurrence of NIU was significantly higher in the PEE group than in the non-PEE group (adjusted hazard ratio 2.96 [95% CI 1.48-5.92]; P = .002) after adjusting for age, income, urbanization, and comorbidities.

Conclusions: This is the first study to substantiate an association between PEE and NIU. Our results suggest that PEE could be a potential risk factor for the occurrence of NIU among postdelivery women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cohort Studies
  • Delivery, Obstetric
  • Eclampsia / diagnosis
  • Eclampsia / epidemiology*
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Pre-Eclampsia / diagnosis
  • Pre-Eclampsia / epidemiology*
  • Pregnancy
  • Retrospective Studies
  • Risk Factors
  • Taiwan / epidemiology
  • Uveitis / epidemiology*
  • Young Adult