Clinical profile, optical coherence tomography, and outcomes of uveitic macular edema at a tertiary eye care center in India
Jyotirmay Biswas, Janakiraman Palani, Ahana Sen, Radha Annamalai, Parth Mehta, Rajiv RamanAbstract:
AIM:
To investigate the prevalence, optical coherence tomography (OCT) features, and visual outcomes in patients with uveitic macular edema (UME).
METHODS:
This was a retrospective, observational study conducted by a single uvea specialist at a tertiary eye care center in South. We analyzed UME cases at a tertiary eye care center between 2019 and 2024. Demographic data, OCT patterns, and edema thickness and visual acuity were analyzed.
RESULTS:
We analyzed UME cases at a tertiary eye care center between 2015 and 2019. The mean age was 42.20 ± 29.80 years. Females were more common than males (25:17). UME was found mostly in intermediate uveitis (33, 60%). Cystoid with neurosensory detachment (NSD) was the most common type (24, 42.9%), followed by the cystoid type (22, 39.3%). The mean follow-up duration was 3.75 months. UME thickness was 536.6 ± 375.8 μ before treatment, and posttreatment, it partially resolved to 372.9 ± 367 μ. After treatment, UME completely resolved in 22 (39.2%) cases, partially resolved in 24 (43.6%), remained unchanged in 6 (10.9%), and deteriorated in four (7.3%) eyes. The mean final best-corrected visual acuity was 0.41. A statistically significant difference was observed in the pre- and posttreatment visual acuity and macular edema thickness (
CONCLUSION:
This study showed that UME is more common in females, occurs in middle age, and is more common in intermediate uveitis. Cystoid with NSD was the most common. Visual acuity improved with treatment in the majority of the cases. Disease-specific outcomes, investigative modalities, and treatment used are the factors influencing assessment and final visual outcome.