Presentation preference | Poster presentation |
Title | Clinical pattern of retinitis in Behçet disease |
Purpose | The aim of this study was to describe clinical features of Behçet retinitis. |
Methods | This is a retrospective descriptive study of 22 patients with Behçet disease presenting with acute retinitis. |
Results | The mean patient’s age was 34 years (range, 12–53). There were 14 males (63.6 %) and 8 females (36.36%). Of 22 patients, 19 (86.4 %) had bilateral involvement and 3 (13.6 %) had unilateral involvement. The main presenting symptom was vision loss in 19 patients (76%). Best-corrected visual acuity was < 20/200 in 10 eyes (40%), between 20/200 and 20/40 in 11 eyes (44%) and over 20/40 in 4 eyes (16%). Retinitis was noted at first presentation among 20 patients (91%), and occurred during a mean follow up of 12.5 months among two patients (9%). Panuveitis was the most common form of uveitis (21 eyes; 84%), followed by posterior uveitis (4 eyes; 16%). Retinitis was multifocal in 15 eyes (60%) and unifocal in 10 eyes (40%). Retinal infiltrates involved the midperiphery in 14 eyes (56%), the posterior pole in 9 eyes (36%) and both the midperiphery and posterior pole in 2 eyes (8%). Lesion size was ≤ 1 disc area in 16 eyes (64%) and > 1 disc area in 9 eyes (36%). There were associated fernlike retinal vascular leakage on fluorescein angiography in 17 eyes (68%) and occlusive retinal vasculitis in 9 eyes (36%). |
Conclusion | Behçet disease retinitis is more likely to occur at first presentation and affects more frequently midperiphery than posterior pole. It is commonly associated with fern-like capillaritis, and a subset of eyes exhibits associated occlusive retinal vasculitis. |
Conflict of interest | No |
Last name | ALLAGUI |
Initials of first name(s) | O |
Department | ophtalmology |
City | monastir |
Country | Tunisia |
Last name | Kechida |
Initials of first name(s) | M |
Department | internal medecine |
City | monastir |
Country | Tunisia |
Last name | Ben Khlifa |
Initials of first name(s) | S |
Department | ophtalmology |
City | monastir |
Country | Tunisia |
Last name | Walha |
Initials of first name(s) | Y |
Department | ophtalmology |
City | monastir |
Country | Tunisia |
Last name | Ksiaa |
Initials of first name(s) | I |
Department | ophtalmology |
City | monastir |
Country | Tunisia |
Last name | Khairallah |
Initials of first name(s) | M |
Department | ophtalmology |
City | monastir |
Country | Tunisia |