View abstract

This abstract is assigned to session Poster session in O'Bistro

Title

Clinical outcome of hypertensive uveitis: a comparaison of viral and non viral causes

Purpose	To review the clinical outcome of our series of patients with hypertensive uveitis.
Methods	We performed a systematic database search of patients with uveitis who presented at least one intraocular pressure (IOP) > 25 mmHg. Each patient was classified according to clinical presentation, etiology, first IOP at presentation of uveitis, first elevated IOP, maximal IOP, IOP at 3 months, 1 year and at last visit; time before first elevated IOP, need of surgery and apparition of glaucoma. The categories of etiologies are composed as such: viral and non-viral causes.
Results	65 patients met the inclusion criteria. Different infectious and non infectious causes were found and were grouped in viral (N= 24/36.9%) and non viral uveitis (N=41/63.1%). We found that patients with viral uveitis have a significant higher maximal IOP (40.63 mmHg) than patients in non viral group (34.37 mm Hg) (p=0, 012). IOP at other times were not significantly different. Viral hypertensive uveitis were always unilateral as compared to non viral uveitis, 0(0%) vs 11(25%), and this difference was statistically significant (p=0.005).IOP could be successfully lowered in most of the patients (95.1% & 95.8%) in both groups. The incidence of glaucoma was higher in non viral group, 13(32.5%) vs 4(16%) in the viral group. However this difference was no reaching significance (p=0,237).
Conclusion	We found that patients with a viral hypertensive uveitis have a higher maximal IOP and were more frequently unilateral compared to non viral causes. IOP could be lowered in most of patients in both groups. However glaucoma develops in a significant proportion in both groups.

Authors 1

Last name	LEWKOWICZ
Initials	D
Department	CHU Saint-Pierre, CHU Brugmann
City	Brussels

Authors 2

Last name	Willermain
Initials	F
Department	CHU Saint-Pierre
City	Brussels

Authors 3

Last name	Judice
Initials	L
Department	CHU Saint-Pierre
City	Brussels

Authors 4

Last name	Makhoul
Initials	D
Department	CHU Saint-Pierre, CHU Brugmann
City	Brussels

Authors 5

Last name	Janssens
Initials	S
Department	CHU Saint-Pierre
City	Brussels

Authors 6

Last name	Janssens
Initials	X
Department	CHU Saint-Pierre
City	Brussels

Authors 7

Last name	Caspers
Initials	L
Department	CHU Saint-Pierre
City	Brussels