Keywords
epidemiology
diagnosis
treatment
Zinder
How to Cite
Abstract
Introduction :
Uveitis are potentially blinding pathologies. The objective of our study was to determine the epidemiological, clinical, therapeutic and prognostic aspects of uveitis at the National Hospital of Zinder.
Materials and methods :
We conducted a retrospective and descriptive study on the medical records of all patients diagnosed and followed for uveitis in the Ophthalmology Department of the National Hospital of Zinder over a period of 5 years from April 2017 April 2022.
Results :
A total of 127 patients were collected. The gender distribution was substantially equal and the average age was 40.73 years. The hospital frequency of uveitis was 0.21%. Eye pain was the most common reason for consultation (51.97%), followed by loss of visual acuity (46.61%). Uveitis was unilateral in 81.88%, bilateral in 18.12% of cases. According to the classification of the International Uveitis Study Group (IUSG), uveitis were anterior in 45.67% (n=58), intermediate in 19.68% (n=25), posterior in 29.92% (n= 38) and total (panuveitis) in 4.72% (n=6). In 83.46% of cases, no etiology was found. After treatment, remission was mostly complete in 52.76% and complications were noted in 33.07% of cases.
Conclusion :
This study notes a relatively low prevalence of uveitis which could be due not only to insufficient diagnosis and/or archiving of data, but also to certain genetic or environmental factors of which only previous prospective studies can edify us.
References
1. Brézin AP. Uvéites. La Presse Médicale. 2012;41(1):10-20.
2. Deschenes J, Murray PI, Rao NA, Nussenblatt RB. International Uveitis Study Group (IUSG) Clinical Classification of Uveitis. Ocular Immunology and Inflammation. 2008;16(1-2):1-2.
3. Sève P, Bodaghi B, Trad S, Sellam J, Bellocq D, Bielefeld P, et al. Prise en charge diagnostique des uvéites: recommandations d’un groupe d’experts. Rev Med interne. 2018; 39(9):676-86.
4. García-Aparicio Á, García de Yébenes MJ, Otón T, Muñoz-Fernández S. Prevalence and Incidence of Uveitis: A Systematic Review and Meta-analysis. Ophthalmic Epidemiology. 2021;28(6):461-8.
5. Bodaghi B, Cassoux N, Wechsler B, Hannouche D, Fardeau C, Papo T, Huong DL, Piette JC, LeHoang P. Chronic severe uveitis: etiology and visual outcome in 927 patients from a single center. Medicine (Baltimore). 2001 ;80(4):263-70.
6. Chebil A, Baroudi B, Slim M, Chaker N, Lamloum M, Bouladi M, et al. Profil épidémiologique des uvéites dans la région de Tunis. J Fr Ophtalmol. 2013; 36(9)):764-8.
7. Jakob E, Reuland MS, Mackensen F, Harsch N, Fleckenstein M, Lorenz HM, et al. Uveitis subtypes in a German interdisciplinary uveitis center—analysis of 1916 patients. 2009; 36(1):127-36. J Rheumatol 2009, 36 : 127-136.
8. Abdallaoui EAE, Ghit O al. Les uvéites: aspects cliniques, épidémiologiques et étiologiques (à propos de 74 cas) [Thesis]. 2017: http://ao.um5.ac.ma/xmlui/handle/1234567 89/15759
9. Kouassi FX, Kouassi AC, Effi H, Safede K, Keita CT. Profils épidémiologique, clinique et thérapeutique Au Chu Cocody (Abidjan Cote D’ivoire) ; Méd Afr Noire : 2001, 48 (2) : 67-72.
10. Didier AK, Abel ACR, Edebah NY, Délia Z, Messan AK, Yaovi T, et al. profil épidémiologique, clinique et thérapeutique des uvéites à Boko et à Parakou au nord du Bénin. Revue SOAO. 2017; 1:49-54.
11. Biswas J, Kharel Sitaula R, Multani P. Changing uveitis patterns in South India Comparison between two decades. Indian J Ophthalmol. avr 2018;66(4):524-7.
12. Atik S, Oubelkacem N, Hamri L, Khoussar I, Khammar Z, Ouazzani M, et al. Profil épidémiologique des uvéites au service de médecine interne (à propos de 61 cas). La Revue de Médecine Interne. déc 2016;37:A159.
13. Clarke LAL, Guex-Crosier Y, Hofer M. Epidemiology of uveitis in children over a 10-year period. Clin Exp Rheumatol. 2013;31(4):633-7.
14. Maalouf G, Osta Z, Haddad F, Maalouly G. Uvéites : aspects cliniques et étiologiques. La Revue de Médecine Interne. 1 déc 2017;38:A145-6.
15. Neater E, Conart JB, Baumann C, Rousseau H, Zuily S, Angioi-Duprez K. Caractéristiques épidémiologiques et étiologiques des uvéites dans un centre hospitalier universitaire. Journal Français d'Ophtalmologie. 2019;42(8):844-51.
16. Chen EJ, Bin Ismail MA, Mi H, Ho SL, Lim WK, Teoh SC, et al. Ocular Autoimmune Systemic Inflammatory Infectious Study (OASIS) - Report 1: Epidemiology and Classification. Ocul Immunol Inflamm. 2018;26(5):732-46.
17. Amin RM, Goweida M, Bedda A, Kamel A, Radwan A. Clinical Patterns and Causes of Intraocular Inflammation in a Uveitis Patient Cohort from Egypt. Ocul Immunol Inflamm. 2019;27(6):859-67
18. Abaño JM, Galvante PR, Siopongco P, Dans K, Lopez J. Review of Epidemiology of Uveitis in Asia: Pattern of Uveitis in a Tertiary Hospital in the Philippines. Ocul Immunol Inflamm. 2017; 25(sup1): S75-80.
19. Posarelli C, Talarico R, Vella G, Passani A, Mosca M, Figus M. Do systemic steroids increase the risk of ocular complication in uveitis patients? Focus on a Italian referral center. Clin Rheumatol. oct 2019;38(10):2917-23.
20. Laminou L, Doutchi M, Amadou M, Yakoura Hadjia AK, Abdou A. Les lésions oculaires au cours de l’infection à VIH: A propos de 81 patients à l’Hôpital National de Zinder. Jaccr Africa 2022; 6 (3):248-57.
Metrics
Downloads
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 L Laminou, A Hassane Traoré, Y Abba Kaka, A Amza