Br J Ophthalmol 2000;84:706-709
( July )
Population based assessment of uveitis in an urban population in
southern India
Lalit Dandonaa, Rakhi Dandonaa b, Rajesh K Johna, Catherine A McCartyb, Gullapalli N Raoa
a Public Health
Ophthalmology Service, LV Prasad Eye Institute, Hyderabad, India, b Centre for Eye Research Australia, University of
Melbourne, Melbourne, Australia
Correspondence to: Lalit Dandona, MD, MPH, Public Health Ophthalmology Service, LV Prasad
Eye Institute, LV Prasad Marg, Banjara Hills, Hyderabad - 500 034, India
dandona{at}lvpeye.stph.net
Accepted for publication 12 January 2000
AIM
To assess the
prevalence of active and inactive uveitis unrelated to previous surgery
or trauma in an urban population in southern India.
METHODS
As part of the
Andhra Pradesh Eye Disease Study, 2522 subjects (85.4% of those
eligible), a sample representative of the population of Hyderabad city
in southern India, underwent interview and detailed dilated eye
examination. Presence of sequelae of uveitis without current active
inflammation was defined as inactive uveitis.
RESULTS
Unequivocal
evidence of active or inactive uveitis unrelated to previous surgery or
trauma was present in 21 subjects, an age-sex adjusted prevalence of
0.73% (95% confidence interval (CI) 0.44-1.14%). Active uveitis was
present in eight subjects, an age-sex adjusted prevalence of 0.37%
(95% CI 0.19-0.70), of which 0.06% was anterior, 0.25%
intermediate, and 0.06% posterior. The 0.36% (95% CI 0.17-0.68%)
prevalence of inactive uveitis included macular chorioretinitis scars
(0.26%), anterior (0.07%) and previous vasculitis involving the whole
eye (0.03%). The prevalence of visual impairment due to uveitis of
less than 6/18 in at least one eye was 0.27%, less than 6/60 in at
least one eye was 0.16%, and less than 6/60 in both eyes was 0.03%.
CONCLUSION
These
population based cross sectional data give an estimate of the
prevalence of various types of uveitis in this urban population in India. Active or past uveitis that might need treatment at some
stage was present in one of every 140 people in this population.
© 2000 by British Journal of Ophthalmology