Risk factors for ocular complications in adult patients with uveitis

Eur J Ophthalmol. 2020 Nov;30(6):1381-1389. doi: 10.1177/1120672119899379. Epub 2020 Jan 5.

Abstract

Purpose: To report risk factors for ocular complications in adults with uveitis.

Methods: Retrospective cohort study of 653 patients with uveitis (869 eyes) followed up for at least 1 month attended between May 1989 and December 2012.

Results: After a median follow-up of 16 months (interquartile range = 3-59), 43.5% of patients developed one or more complications, including cataract formation (25%), iris alterations (20%), and macular edema (16%) as the most frequent. Older age, intermediate uveitis, chronic course, and uveitis activity >3 months were significantly more frequent among patients with complications. In the multivariate analysis, age ⩾65 years (hazard ratio = 2.76, 95% confidence interval = 1.72-4.4), chronic course (hazard ratio = 1.78, 95% confidence interval = 1.23-259), and uveitis activity >3 months (hazard ratio = 1.94, 95% confidence interval = 1.33-2.84) were predictors of complications.

Conclusion: In the present series of patients with uveitis, advanced age, chronic uveitis, and inflammatory activity >12 weeks were risk factors for complications.

Keywords: Adult patients; cataract; complications; iris alterations; macular edema; retrospective cohort; uveitis.

MeSH terms

  • Adolescent
  • Adult
  • Cataract / etiology*
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Macular Edema / etiology*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Risk Factors
  • Uveitis / complications*
  • Visual Acuity*
  • Young Adult