SCIENTIFIC POSTER 2016_Tomographic and Angiographic Changes in Egyptian Patients with Behcet Posterior Uveitis Maha Shahin

Purpose:

To evaluate different tomographic and angiographic changes occurring in Egyptian Behcet’s disease patients diagnosed with posterior uveitis using optical coherence tomography (OCT) and fundus fluorescein angiography.

Patients and Methods:

The study included 20 Egyptian Behcet’s patients with clinical posterior uveitis who fulfilled the diagnostic criteria of the International Study Group for Behcet’s Disease attending or referred to the outpatient clinic at Ophthalmology center, Mansoura University Hospital between April 2013 and March 2015. Full Ophthalmic examination including FFA and OCT were done for all patients. The numerical values were expressed as mean ±SD. The Student unpaired t test was used to compare between variables. SPSS (statistical software, Chicago, IL) version 8.1 used to perform all the analysis.

Results:

60% of patients were males. The largest age group was between 21 to 30 years old. One patient was below 20 years and no patient was above 55 years old. 38 eyes were analyzed. Vasculitis was the common angiographic findings seen in 55% of male patients and 40% of female patients using FFA followed by macular edema and disc edema. Altered foveal contour was seen in 35% of male patients and 15% of female patients. Diffuse macular edema was the most common seen tomographic finding followed by epiretinal membrane. A positive correlation has been found between Log MAR visual acuity and both the duration of the disease and the macular thickness.

Conclusion:

Behcet’s posterior uveitis is a vision threatening problem affecting behcet patients. FFA is superior than OCT in detecting vasculitis and capillary non perfusion. On the other hand, OCT is superior in recognizing and classification of macular edema, delineating ERM and visualization of neurosensory detachment. OCT and FFA are complementary when dealing with patients with posterior uveitis due to Behcet’s disease.

Contact Details:

Email: mahashahin@msn.com
Cell Phone: +201001988990

Maha Shahin