Abstract
Purpose
To investigate etiologic data on intraocular inflammation in Japan collected in the 2009 epidemiologic survey of uveitis in Japan and assess the current state of etiology compared with that reported in a previous survey.
Methods
Thirty-six university hospitals participated in this prospective etiologic study. Patients who visited the outpatient uveitis clinic of each hospital for the first time between 1 June 2009 and 31 May 2010 were enrolled in the study. Uveitic diseases were diagnosed according to the guidelines when available or following commonly accepted diagnostic criteria.
Results
A total of 3,830 patients were enrolled in the survey and 2,556 cases of uveitis were identified, of which 1,274 cases were described as unclassified intraocular inflammation. In the identified cases, the most frequent intraocular inflammatory disease was sarcoidosis (10.6 %), followed by Vogt–Koyanagi–Harada disease (7.0 %), acute anterior uveitis (6.5 %), scleritis (6.1 %), herpetic iridocyclitis (4.2 %), Behçet’s disease (3.9 %), bacterial endophthalmitis (2.5 %), masquerade syndrome (2.5 %), Posner–Schlossman syndrome (1.8 %), and retinal vasculitis (1.6 %).
Conclusions
The current etiology of uveitis in Japan was elucidated by means of a multi-center prospective survey. Conducting such surveys on a periodic basis may help clinicians in their management of uveitis.
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References
Derhaaq PJ, de Waal LP, Linssen A, Feltkamp TE. Acute anterior uveitis and HLA-B27 subtypes. Invest Ophthalmol Vis Sci. 1988;29:1137–40.
Levinson RD, Rajalingam R, Park MS, Reed EF, Gjertson DW, Kappel PJ, et al. Human leukocyte antigen A29 subtypes associated with birdshot retinochoroidopathy. Am J Ophthalmol. 2004;138:631–4.
Shindo Y, Inoko H, Yamamoto T, Ohno S. HLA-DRB1 typing of Vogt-Koyanagi-Harada’s disease by PCR-RFLP and the strong association with DRB1*0405 and DRB1*0410. Br J Ophthalmol. 1994;78:223–6.
Mochizuki M, Watanaebe T, Yamaguchi K, Tajima K. Human T-lymphotropic virus type 1-associated disease. In: Pepose JS, Holland GN, Wilhelmus KR, editors. Ocular infection and immunity. St. Louis: Mosby; 1996. p. 1366–87.
Chang JH, Wakefield D. Uveitis: a global perspective. Ocul Immunol Inflamm. 2002;10:263–79.
Kotake S. Epidemiology of Behçet disease. Clin Ophthalmol. 2003;57:1308–10.
Yoshida A, Kawashima H, Motoyama Y, Shibui H, Kaburaki T, Shimizu K, et al. Comparison of patients with Behçet’s disease in the 1980s and 1990s. Ophthalmology. 2004;111:810–5.
Goto H, Mochizuki M, Yamaki K, Kotake S, Usui M, Ohno S. Epidemiological survey of intraocular inflammation in Japan. Jpn J Ophthalmol. 2007;51:41–4.
Forrester JV, Okada AA, Ohno A, BenEzra D, editors. Posterior segment intraocular inflammation: guidelines. Amsterdam: Kugler; 1998.
BenEzra D, Ohno S, Secchi AG, Alio J, editors. Anterior segment intraocular inflammation: guidelines. London: Martin Dunitz; 2000.
Ministry of Health, Labour and Welfare Designated Disease Study Group. Ministry of Health, Labour and Welfare. Diagnostic criteria of Behçet’s disease (revised edition, 2003) (in Japanese). Ministry of Health, Labour and Welfare, Tokyo; 2003. pp. 11–13.
Read RW, Holland GN, Rao NA, Tabbara KF, Ohno S. Arellanes-Garcia, et al. Revised diagnostic criteria for Vogt–Koyanagi–Harada disease: report of an international committee on nomenclature. Am J Ophthalmol. 2001;131:647–52.
Sugisaki K: Diagnostic guidelines and criteria for sarcoidosis—2006 (in Japanese). Nihon Kokyuki Gakkai Zasshi. 2008;46:768–80.
Sakai JI, Usui Y, Sakai M, Yokoi H, Goto H. Clinical statistics of endogenous uveitis: comparison between general eye clinic and university hospital. Int Ophthalmol. 2010;30:297–301.
Acknowledgments
The authors wish to thank the institutions that participated in this survey: Hokkaido University, Asahikawa Medical University, Akita University, Tohoku University, Yamagata University, Fukushima Medical University, Dokkyo Medical University, Chiba University, Nihon University, Jikei University, Juntendo University, Kitasato University, Tokyo Medical University, Tokyo Medical and Dental University, University of Tokyo, Yokohama City University, Kyorin University, Gifu University, Niigata University, Kanazawa University, Kyoto University, Kyoto Prefectural University, Osaka University, Osaka Medical College, Osaka City University, Kinki University, Kobe University, Shimane University, Hiroshima University, Ehime University, Kochi University, Fukuoka University, Kyushu University, Saga University, Kurume University, Kagoshima University. The authors also express their appreciation to Dr. Chiharu Iwahashi for her help with data analysis.
Conflict of interest
The authors have no proprietary interests or conflicts of interest in any aspect of this report.
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Ohguro, N., Sonoda, KH., Takeuchi, M. et al. The 2009 prospective multi-center epidemiologic survey of uveitis in Japan. Jpn J Ophthalmol 56, 432–435 (2012). https://doi.org/10.1007/s10384-012-0158-z
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DOI: https://doi.org/10.1007/s10384-012-0158-z
Keywords
- Epidemiology
- Survey
- Intraocular inflammation
- Uveitis