UVEITIS PROFILE AMONG PATIENTS WITH TUBERCULOSIS AT KING HUSSEIN MEDICAL CENTER

Hala K. Haddad MD*, Mohammad Alshdaifat MD, Hesham Q. Alrawashdeh MD, Mohammad E. Shihan MD, Yazan Alharahsheh MD and Ahmed Khatatabeh MD

ABSTRACT

Aim: to report the patterns of uveitis caused by TB. Method: This retrospective study was conducted at the ophthalmology clinic in King Hussein Medical Center between January 2023 and February 2024. All patients who have uveitis and, on their investigations, found to have tuberculosis were included in this study. The medical records of all patients were reviewed regarding their demographic, initial and final best corrected visual acuity, types of medications received by the patients, type of uveitis, and spectrum of uveitis complications. The obtained data was analyzed and compared with other studies. Results: 50 patients aged between 14 and 58 years (mean 35±12 years) were included in the study. 62.0% of them were males. the most common method used for diagnosis of TB was QuantiFERON test. 70.0% of cases were bilateral and posterior uveitis was the most common pattern of uveitis (42.0%) encountered among the patients, 90.9% of the cases of anterior uveitis were granulomatous. The worst visual acuity was encountered among patients with posterior uveitis and the best visual acuity was found among patients with scleritis. Conclusion: tuberculous uveitis tends to occur in bilateral pattern. Due to the wide range of ocular tuberculosis manifestations, TB should be expected to be the etiology in any form of uveitis. However, higher index of suspicions should be considered in patients with posterior uveitis and granulomatous anterior uveitis

Keywords: tuberculosis, uveitis, visual acuity.