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Ocul Immunol Inflamm ; 29(1): 137-148, 2021 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-31671020

RESUMEN

Aims: To evaluate associations between vision-related (VR-) and health-related (HR-) QoL metrics and inflammation and treatment in non-acute VKHD patients.Methods: Cross-sectional study in a tertiary center in Sao Paulo, Brazil with 22 patients with non-acute VKHD followed prospectively for ≥12 months since acute disease onset, with systematic evaluation and predefined treatment protocols. VR- and HR-QoL aspects were assessed by VFQ-25 and SF-36 questionnaires, respectively. Associations between the questionnaire's subscale item scores with inflammation and systemic medical therapies were assessed.Results: After generalized linear model analysis, worse VA, severe fundus changes, fluctuation of VA and fluctuation of anterior chamber cells impacted negatively on VR-QoL items. Higher cumulative total dose of corticosteroids and use of immunosuppressive therapy impacted negatively on both questionnaires.Conclusion: Worse VA, clinical inflammation and systemic treatment have a significant impact on VR- and HR-QoL questionnaires. Subclinical choroidal inflammation did not seem to impact QoL.


Asunto(s)
Glucocorticoides/uso terapéutico , Inmunosupresores/uso terapéutico , Inflamación/etiología , Calidad de Vida , Autoinforme , Síndrome Uveomeningoencefálico/tratamiento farmacológico , Agudeza Visual , Adulto , Anciano , Brasil/epidemiología , Estudios Transversales , Femenino , Estudios de Seguimiento , Humanos , Incidencia , Inflamación/diagnóstico , Inflamación/tratamiento farmacológico , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Encuestas y Cuestionarios , Síndrome Uveomeningoencefálico/complicaciones , Síndrome Uveomeningoencefálico/epidemiología , Adulto Joven
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