Step-wise diagnostic approach for patients with uveitis - Experts consensus in Taiwan

De-Kuang Hwang; Jia-Horung Hung; Yo-Chen Chang; Ching-Long Chen; San-Ni Chen; Cheng-Kuo Cheng; Yih-Shiou Hwang; Hsi-Kung Kuo; An-Fei Li; Chun-Ju Lin; Chang-Hao Yang; Shwu-Jiuan Sheu; Chang-Ping Lin

doi:10.1016/j.jmii.2022.02.003

Step-wise diagnostic approach for patients with uveitis - Experts consensus in Taiwan

J Microbiol Immunol Infect. 2022 Aug;55(4):573-580. doi: 10.1016/j.jmii.2022.02.003. Epub 2022 Mar 18.

Authors

De-Kuang Hwang¹, Jia-Horung Hung², Yo-Chen Chang³, Ching-Long Chen⁴, San-Ni Chen⁵, Cheng-Kuo Cheng⁶, Yih-Shiou Hwang⁷, Hsi-Kung Kuo⁸, An-Fei Li⁹, Chun-Ju Lin¹⁰, Chang-Hao Yang¹¹, Shwu-Jiuan Sheu¹², Chang-Ping Lin¹³

Affiliations

¹ Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
² Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Ophthalmology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
³ Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung Taiwan; Department of Ophthalmology, School of Medicine, Kaohsiung Medical University Hospital, Kaohsiung Taiwan.
⁴ Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
⁵ Department of Ophthalmology, Changhua Christian Hospital, Changhua, Taiwan; Department of Optometry, Da-Yeh University, Changhua, Taiwan.
⁶ Department of Ophthalmology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan; School of Medicine, Catholic Fu-Jen University, New Taipei, Taiwan.
⁷ Department of Ophthalmology, Chang Gung Memorial Hospital, Guishan District, Taoyuan City, Taiwan; College of Medicine, Chang Gung University, Taoyuan City, Taiwan; Department of Ophthalmology, Chang Gung Memorial Hospital, Xiamen Branch, Xiamen, China.
⁸ Department of Ophthalmology, Kaohsiung Chang-Gung Memorial Hospital, Kaohsiung, Taiwan; Chang-Gung University College of Medicine, Kaohsiung, Taiwan.
⁹ Department of Ophthalmology, Cheng Hsin General Hospital, Taipei, Taiwan.
¹⁰ Department of Ophthalmology, China Medical University Hospital, China Medical University, Taichung, Taiwan; Department of Optometry, Asia University, Taichung, Taiwan.
¹¹ Department of Ophthalmology, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.
¹² Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung Taiwan; Department of Ophthalmology, School of Medicine, Kaohsiung Medical University Hospital, Kaohsiung Taiwan. Electronic address: sjiuansheu@gmail.com.
¹³ Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan. Electronic address: cpiling59@gmail.com.

PMID: 35361552
DOI: 10.1016/j.jmii.2022.02.003

Abstract

Uveitis is a sight-threatening disease that can be associated with many different etiologies. Successful treatment of uveitis relies on accurate diagnosis and prompt efficient therapy. History taking, physical and ocular examinations, systemic evaluations, and response to treatment provide crucial information to differentiate possible etiologies involved in the pathophysiology of intraocular inflammation. This article provides recommendations for a step-wise approach to patients with uveitis in Taiwan based on an expert meeting and consensus. Systemic evaluations for uveitis should be performed step-by-step and include investigation of patients' general systemic conditions, ruling out infectious etiologies, and obtaining evidential biomarkers to diagnose a specific disease entity.

Keywords: Evaluation; Recommendation; Systemic; Taiwan; Uveitis.

Publication types

Review

MeSH terms

Consensus
Humans
Inflammation
Taiwan
Uveitis*