Uveitis in the elderly
Reviewed by Saruban Pasu

This study from Turkey evaluated the causes and clinical characteristics of uveitis in elderly patients. Data from 90 eyes of 68 patients aged 60 years and older were reviewed. Anterior uveitis was present in 75% (33% of these had keratouveitis), intermediate uveitis in 4.4%, posterior uveitis in 7.3% and panuveitis in 13.2%. With respect to causes: 33.8% were idiopathic, herpetic anterior uveitis in 33.8%, Fuchs in 6.8%, HLA-B27 associated uveitis in 5.8%, toxoplasmosis in 2.9%, multifocal choroiditis in 2.9%, CMV retinitis in 1.4% and VKH in 1.4%. Elevated IOP was found to be more common in herpetic anterior uveitis. Visual acuity improved by at least two Snellen lines in 27.7%, remained unchanged in 66.6% and decreased in 5.5%. Although endemic to the country, Behçet’s was not seen in this age group, similarly no cases of sarcoidosis related uveitis were seen. The authors excluded cases of masquerade syndrome, but go on to explain that primary intraocular / vitreoretinal lymphoma presents in 1.5-5.3% of cases of uveitis in this age group. The effects of referral or selection bias, varying diagnostic criteria, and lack of uniform nomenclature classification for uveitis types and causes make comparison of epidemiological data from different populations and regions difficult.

Clinical and demographic characteristics of patients with uveitis starting later in life.
Nalcaciglu-Yukeskkaya P, Ozdal P, Yazici A, et al.
OCULAR IMMUNOLOGY AND INFLAMMATION
2015;23(4):304-10.