1. Characteristics of Uveitis Presenting for the First Time in the Elderly: Analysis of 91 Patients in a Tertiary Center
- Author
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Marie-Alix Grégoire, L. Varron, Jean-Daniel Grange, Laurent Kodjikian, Christiane Broussolle, Pascal Sève, Centre de Recherche en Cancérologie de Lyon ( CRCL ), Université Claude Bernard Lyon 1 ( UCBL ), Université de Lyon-Université de Lyon-Centre Léon Bérard [Lyon]-Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Centre National de la Recherche Scientifique ( CNRS ), hospices civils de lyon, Hôtel Dieu, Biomatériaux et remodelages matriciels, Université de Lyon-Université de Lyon, Department of Internal Medicine, Hospices Civils de Lyon, Université de Lyon, Centre de Recherche en Cancérologie de Lyon (UNICANCER/CRCL), Centre Léon Bérard [Lyon]-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), and Université Claude Bernard Lyon 1 (UCBL)
- Subjects
Male ,Pediatrics ,MESH : Retrospective Studies ,MESH : Aged ,[ SDV.CAN ] Life Sciences [q-bio]/Cancer ,MESH: Panuveitis ,MESH: Aged, 80 and over ,0302 clinical medicine ,MESH : Chronic Disease ,Panuveitis ,Epidemiology ,Immunology and Allergy ,MESH : Female ,Center (algebra and category theory) ,MESH: Incidence ,Age of Onset ,Aged, 80 and over ,MESH: Aged ,MESH: Middle Aged ,Incidence ,MESH : Uveitis, Intermediate ,MESH : Panuveitis ,Middle Aged ,Uveitis, Anterior ,MESH : Incidence ,humanities ,MESH : Age of Onset ,3. Good health ,MESH : Uveitis, Anterior ,Female ,Steroids ,Sarcoidosis ,Uveitis, Intermediate ,Uveitis ,MESH: Sarcoidosis ,medicine.medical_specialty ,MESH: Age of Onset ,MESH : Male ,MESH: Uveitis, Posterior ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,MESH : Sarcoidosis ,MESH : Uveitis, Posterior ,03 medical and health sciences ,medicine ,Humans ,MESH : Middle Aged ,MESH : Aged, 80 and over ,Aged ,Retrospective Studies ,030203 arthritis & rheumatology ,Retrospective review ,MESH: Humans ,business.industry ,MESH: Chronic Disease ,MESH: Uveitis, Anterior ,MESH : Humans ,Uveitis, Posterior ,MESH: Retrospective Studies ,medicine.disease ,MESH: Steroids ,MESH: Male ,Surgery ,Ophthalmology ,Chronic Disease ,MESH: Uveitis, Intermediate ,030221 ophthalmology & optometry ,business ,MESH: Female ,MESH : Steroids - Abstract
International audience; PURPOSE: To describe uveitis clinical characteristics in the elderly. METHODS: Retrospective review of 91 patients at the age of 60 or more years at the authors' uveitis tertiary center over a 7-year period. RESULTS: Uveitis in the elderly accounted for 30.1% of this population. Uveitis localization was anterior in 22.0% of patients, intermediate in 8.8%, posterior in 20.9%, while 41.7% patients presented with panuveitis. Sarcoidosis (37.4%) and idiopathic uveitis (36.3%) accounted for the majority of cases, whereas other diagnostic entities accounted for 26.3%. Panuveitis (41.7%) and sarcoidosis (37.4%) were detected at a significantly higher frequency than in the younger population. Contrarily, ankylosing spondylitis and established ophthalmological entities (pars planitis, Birdshot chorioretinopathy, Fuchs heterochromic cyclitis) were more common in patients younger than 60 years old. CONCLUSION: In the authors' experience, sarcoidosis is the leading cause of uveitis in the elderly. Idiopathic uveitis and other specific entities account for less than two-thirds of cases.
- Published
- 2011
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