K. Karamankraljevic et al., ETIOLOGY AND CLINICAL-FEATURES OF ANTERIOR UVEITIS IN SOUTHERN CROATIA (DALMATIA), Ocular immunology and inflammation, 4(4), 1996, pp. 193-201
Patients with endogenous uveitis represent 6.5% of patients in Univers
ity Hospital Split, which serves most of South Croatia. Within a four-
year period 208 patients were treated for endogenous uveitis. Results
of clinical-laboratory examinations and treatment of 112 subjects suff
ering from anterior uveitis are presented and compared. Acute anterior
uveitis (AAU) was the commonest form of uveal inflammation. It was pr
esent in 49% of all uveitis cases and in 91.1% of all anterior uveitis
cases (AU). 67.6% of the subjects with AAU had and 32.4% did not have
the HLA B27 antigen. The inflammatory pattern in B27(+) patients was
typical of B27(+) AAU. Patients with B27(+) AAU exhibited the same inf
lammatory pattern as those with B7(+) AAU. B27(+) AAU patients had sig
nificantly more systemic/rheumatic diseases (p<0.05), while patients w
ith B27(-) AAU had significantly more infectious diseases (p<0.05). Fo
rty percent of the patients with chronic anterior uveitis suffered fro
m juvenile rheumatoid arthritis. The authors observed the rise in peri
pheral blood IgG, IgA, IgM, CD2(+), CD4(+) and B cells during the acut
e phase of AAU. Normalization of B cells (CD20(+)) was observed in ear
ly remission of anterior uveitis, about eight weeks after the onset of
the disease.