title: Profile of retinal vasculitis in a tertiary eye care center in Eastern India.
abstract: OBJECTIVE
  To provide a fact file on the etiology, clinical presentations and management of retinal vasculitis in Eastern India.
  
  
  METHODS
  Retrospective, record based analysis of retinal vasculitis cases in a tertiary care center in Eastern India from January 2007 to December 2009 .
  
  
  RESULTS
  One hundred and thirteen eyes of 70 patients of retinal vasculitis were included in this study. Sixty (85.7%) patients were male (mean age 33± 11.1 years) and 10 (14.3%) were female (mean age 32.4 ± 13.6 years). Vasculitis was bilateral in 43 (61.4%) and unilateral in 27 (38.6%) patients. Commonest symptoms were dimness of vision (73; 64.6%) and floaters (36; 31.9%). Vascular sheathing (82; 72.6%) and vitritis (51; 45.1%) were commonest signs. Mantoux test was positive in 21 (30%) patients but tuberculosis was confirmed in only four (5.71%) patients. Raised serum angiotensin-converting enzyme level and positive antinuclear antibody level were reported in four (5.71%) patients each. Human leukocyte antigen B5 (HLA B5) marker was present in one (1.4%) patient. However, none of the total 70 patients were found to have a conclusively proven systemic disease attributable as the cause of retinal vasculitis. Oral corticosteroid (60; 85.7%) was the mainstay of treatment. Forty-eight (42.5%) eyes maintained their initial visual acuity and 43 (38%) gained one or more line at mean follow-up of 16.6± 6.3 months.
  
  
  CONCLUSIONS
  Retinal vasculitis cases had similar clinical presentations and common treatment plan. There was no systemic disease association with vasculitis warranting a careful approach in prescribing investigations.
authors.affiliation: Department of Vitreoretina, Sankara Nethralaya, Kolkata, West Bengal, India. vrfellow@gmail.com
authors.forename: Kumar
authors.initials: K
authors.lastname: Saurabh
authors.forename: Radha R
authors.initials: RR
authors.lastname: Das
authors.forename: Jyotirmay
authors.initials: J
authors.lastname: Biswas
authors.forename: Amitabh
authors.initials: A
authors.lastname: Kumar
mesh_terms: D000284:Administration, Oral; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D000328:Adult; D003941:Diagnostic Techniques, Ophthalmological; D005128:Eye Diseases / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D031300:Retinal Vasculitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology / Q000503:physiopathology*; D012189:Retrospective Studies; D014392:Tuberculosis, Ocular; D014786:Vision Disorders / Q000209:etiology* / Q000503:physiopathology; D014792:Visual Acuity; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones