Title
Clinical course of HTLV-1 infection associated intermediate uveitis
Other title
[Evolución clínica de la uveítis intermedia asociada a infección por el virus linfotrópico de células T humano tipo 1 (HTLV-1)]
Date Issued
01 July 2022
Access level
metadata only access
Resource Type
journal article
Author(s)
Scientia Clinical and Epidemiological Research Institute
Publisher(s)
Elsevier Ltd
Abstract
Objective: To describe the clinical features at presentation, delivered treatment and follow-up of a case series of human T-cell lymphotropic virus type 1 (HTLV-1) associated intermediate uveitis. Patients and methods: Retrospective, descriptive and longitudinal study of patients with HTLV-1 associated intermediate uveitis treated at a reference ophthalmology facility in Lima, Peru, during the years 2012 to 2018. Results: A total of 18 patients (28 eyes) were included, the average age at presentation was 57.3 years, 66.6% were women, and the average follow-up time was 1,280 days. The most frequent symptoms were blurred or diminished vision (78.6%) and floaters (57.1%). Best corrected visual acuity was 20/40 or better in 53.6%. The mean initial intraocular pressure was 14.95 mmHg. Keratic precipitates were observed in 50% of eyes, 17.9% were of the stellate type. The most frequent treatment was periocular corticosteroid injections (53.6%). Complications such as epimacular membrane (50%), cataract (21.4%) and glaucoma (7.1%) occurred. At the end of follow-up, only 2 eyes lost one line of vision; the final best corrected visual acuity was 20/40 or better in 85.7%, and 20/70 or better in 96.4%. Patients with both eyes affected increased from 33% at presentation to 55.5%. The course of the disease was chronic in 60.7%. Conclusion: HTLV-1 associated intermediate uveitis mainly occurred in patients in the second half of life, developing a chronic course and with good visual prognosis.
Start page
386
End page
390
Volume
97
Issue
7
Language
English
OCDE Knowledge area
Oftalmología
Subjects
Scopus EID
2-s2.0-85124883014
Source
Archivos de la Sociedad Espanola de Oftalmologia
ISSN of the container
03656691
Sources of information:
Directorio de Producción Científica
Scopus