Fuchs' Uveitis: Is It Different from What We Know?

Ocul Immunol Inflamm. 2022 Jan 2;30(1):62-67. doi: 10.1080/09273948.2020.1795207. Epub 2020 Aug 24.

Abstract

Background: To describe ocular findings in Turkish patients with Fuchs' uveitis (FU).

Methods: The medical records of FU were retrospectively reviewed.

Results: The study included 281 eyes of 258 patients with FU. There were diffusely spread keratic precipitates (KPs)[(medium sized in 253 (90.0%) eyes, stellate-medium in 28 (10%) eyes)], Koeppe nodules (KN) in 64 (22.8%) eyes and cataract in 129 (45.9%) eyes. There was vitreous infiltration of varying grades in all eyes (100%) with grade 1 haze in 96 (34.2%) eyes, grade 2 haze in 69 (24.6%) eyes, and grade 3 haze in 63 (22.4%) eyes. Stellate-medium KPs were significantly more likely in eyes with KN than in eyes without KN (28.1 vs. 4.6%, p <.001) and in eyes with +3 vitreous haze than in those without +3 vitreous haze (28.6 vs. 4.6%, p <.001).

Conclusion: Vitreous involvement is the most frequent posterior segment finding. Posterior involvement is a feature that should not be ignored.Stellate-medium KPs and KN may be an indicator of increased and chronic inflammation.

Keywords: Fuchs Uveitis; fundus; vitreous.

MeSH terms

  • Cataract*
  • Eye
  • Humans
  • Retrospective Studies
  • Uveitis* / diagnosis
  • Uveitis* / epidemiology