Preview

Ophthalmology in Russia

Advanced search

Clinical Variations of Uveitis in Immuno-Inflammatory Diseases. Review of the Literature. Part 1

https://doi.org/10.18008/1816-5095-2022-3-465-474

Abstract

Non-infectious uveitis is one of the main and insufficiently studied causes of disability and blindness in patients with immuno-inflammatory diseases. Uveitis associated with spondyloarthritis, Behcet’s disease, juvenile idiopathic arthritis, systemic sarcoidosis and Vogt-Koyanagi-Harada syndrome are described more often and better than others, but the pathogenesis of different variants of their course is not well understood. Also, there remains a need to study the clinical and pathogenetic features of uveitis in rare autoimmune inflammatory diseases. Despite the currently existing diagnostic and therapeutic schemes, further study of the pathogenesis of uveitis associated with immune-inflammatory diseases is required, the research of a personalized approach and an algorithm for joint multidisciplinary diagnosis by specialists in various fields. A deeper understanding of the specific pathogenetic mechanisms will reveal new possibilities in the treatment of patients with autoimmune uveitis. This article is devoted to the current clinical and differential diagnostic aspects, common features and distinctive features associated with various variants of the course of non-infectious uveitis in patients with immuno-inflammatory diseases. 

About the Authors

G. A. Davydova
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

PhD, research officer of Retina and optic nerve pathology department

Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062



T. A. Lisitsyna
V.A. Nasonova Research Institute of Rheumatology
Russian Federation

МD, senior scientific researcher of the Vascular rheumatology laboratory

Kashirskoe highway, 34A, Moscow, 115522



L. A. Kovaleva
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

PhD, research officer of Infectious and allergic eye diseases department

Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062



E. S. Sorozhkina
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

research officer of Immunology and virology department

Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062



A. A. Zaitseva
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

ophthalmologist of the Adult consulting and polyclinic department

Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062



A. A. Baisangurova
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

ophthalmologist, of the Adult consulting and polyclinic department

Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062



References

1. Foster C.S., Vitale A.T. Diagnosis and Treatment of Uveitis. 2nd Edition. New Delhi: Jaypee Brothers Medical Publishers; 2013. 1276 p.

2. Cаlamia K.T., Wilson F.C., Icen M., Crowson C.S., Gabriel S.E., Kremers H.M. Epidemiology and clinical characteristics of Beçcet’s disease in the US: a populationbased study. Arthritis Rheum. 2009;61(5):600–604. DOI: 10.1002/art.24423

3. Panova I.E., Drozdova E.A. Uveitis. A guide for doctors. Moscow: Medical Informational Agency = Meditsinskoye Informatsionnoye Agenstvo; 2014. P. 144 (In Russ.).

4. Nussenblatt R.B., Whitcup S.M. Uveitis: fundamentals and clinical practice. 4th ed. Maryland Heights: Elsevier Inc.; 2010.

5. Jakob E., Reuland M.S., Mackensen F., Harsch N., Fleckenstein M. Lorenz H.M., Max R., Becker M.D. Uveitis subtypes in a german interdisciplinary uveitis center-analysis of 1916 patients. J Rheumatol. 2009 Jan;36(1):127–136. DOI: 10.3899/jrheum.080102

6. Drozdova E.A. The classification and epidemiology of uveitis. Russian Medical Journal. Clinical Ophthalmology = Rossiyskiy medicinskiy zhurnal. Klinicheskaya oftal’mologiya. 2016;16(3):155–159 (In Russ.).

7. Chora I., Borges T., Dias C., Ourique C., Vilaça J., Ferreire S., Vaz-Marques P., Silva S., Dias C. Clinical Management of Uveitis in Systemic Rheumatic Autoimmune Diseases in Adults. Autoimmun Infec Dis. 2015;1(1): DOI: 10.16966/2470-1025.104

8. Kon’kova A.Yu., Gavrilova T.V., Chereshneva M.V. The state of incidence of uveitis in the Perm region. Bulletin of the Council of Young Scientists and Specialists of the Chelyabinsk Region = Vestnic soveta molodih uchenih i specialistov Chelyabinskoy oblasti. 2015;2(4(11)):31–35 (In Russ.).

9. Kuznetcova T.I., Astakhov Yu.S. Is it possible to cut down the number of unknown etiology in uveitis? Ophthalmology Journal = Oftal’mologicheskie vedostomosti. 2019;12(3):21– 30 (In Russ,). DOI: 10.17816/OV16369

10. Tran V.T., Auer C., Guex-Crosier Y., Pittet N., Herbort Carl P. Epidemiology of uveitis in Switzerland. Ocul Immunol Inflamm. 1994;2(3):169–176. DOI: 10.3109/09273949409057073

11. Taylor W.J., Gladman D., Helliwell P., Marchesoni A, Mease P., Mielants H. Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheum. 2006;54:2665–2673. DOI: 10.1002/art.21972

12. Taylor W.J., Robinson P.C. Classification criteria: peripheral spondyloarthropathy and psoriatic arthritis. Curr Rheumatol Rep. 2013 Apr;15(4):317. DOI: 10.1007/s11926-013-0317-3

13. Turk M., Hayworth J., Nevskaya T., Pope J. The frequency of uveitis in patients with adult versus childhood spondyloarthritis. RMD Open. 2020 Aug;6(2):e001196. DOI: 10.1136/rmdopen-2020-001196

14. Zeboulon N., Dougados M., Gossec L. Prevalence and characteristics of uveitis in the spondyloarthropathies: a systematic literature review. Ann Rheum Dis. 2008 Jul;67(7):955–959. DOI: 10.1136/ard.2007.075754

15. Cantini F., Nannini C., Cassarà E., Kaloudi O., Niccoli L. Uveitis in Spondyloarthritis: An Overview. J Rheumatol Suppl. 2015 Nov;93:27–29. DOI: 10.3899/jrheum.150630

16. Rosenbaum J.T. Uveitis in spondyloarthritis including psoriatic arthritis, ankylosing spondylitis, and inflammatory bowel disease. Clin Rheumatol. 2015; 34: 999– 1002. DOI: 10.1007/s10067-015-2960-8

17. Agrawal R.V., Murthy S., Sangwan V., Biswas J. Current approach in diagnosis and management of anterior uveitis. Indian J Ophthalmol. 2010;58(1):11–19. DOI: 10.4103/0301-4738.58468

18. D’Ambrosio E.M., La Cava M., Tortorella P., Gharbiya M., Campanella M., Iannetti L. Clinical Features and Complications of the HLA-B27-associated Acute Anterior Uveitis: A Metanalysis. Semin Ophthalmol. 2017;32(6):689–701. DOI: 10.3109/08820538.2016.1170158

19. Jabs D.A., Nussenblatt R.B., Rosenbaum J.T. Standardization of uveitis nomenclature (SUN) for reporting clinical data — results of the first international workshop. Am J Opthalmol. 2005;150:509–516. DOI: 10.1016/j.ajo.2005.03.057

20. Herbort C.P. Appraisal, workup, and diagnosis of anterior uveitis: a practical approach. Middle East Afr J Ophthalmol. 2009;16(4):159–167. DOI: 10.4103/09749233.58416

21. Rademacher J., Poddubnyy D., Pleyer U. Uveitis in spondyloarthritis. Ther Adv Musculoskelet Dis. 2020 Sep 12;12:1759720X20951733. DOI: 10.1177/1759720X20951733

22. Fong D.S., Raizman M.B. Spontaneous hyphema associated with anterior uveitis. Br J Ophthalmol. 1993;77(10):635–638. DOI: 10.1136/bjo.77.10.635

23. Dodds E.M., Lowder C.Y., Meisler D.M. Posterior segment inflammation in HLAB27+ acute anterior uveitis: clinical characteristics. Ocular Immunology and Inflammation. 1999;7:85–92. DOI: 10.1076/ocii.7.2.85.4015

24. Linssen A., Meenken C. Outcomes of HLAB27-positive and HLA-B27-negative acute anterior uveitis. Am J Ophthalmol. 1995;120(3):351–361. DOI: 10.1016/s0002-9394(14)72165-8

25. Monnet D., Breban M., Hudry C., Dougados M., Brezin A.P. Ophthalmic findings and frequency of extraocular manifestations in patients with HLA-B27 uveitis: a study of 175 cases. Ophthalmology. 2004;111(4):802–809. DOI: 10.1016/j.ophtha.2003.07.011

26. Rothova A., van Veenedaal W.G., Linssen A., Glasius E., Kijlstra A. Clinical features of acute anterior uveitis. Am J Ophthalmol. 1987 Feb 15;103(2):137–145. DOI: 10.1016/s0002-9394(14)74218-7

27. Paiva E.S., Macaluso D.C., Edwards A., Rosenbaum J.T. Characterisation of uveitis in patients with psoriatic arthritis. Ann Rheum Dis. 2000 Jan;59(1):67–70. DOI: 10.1136/ard.59.1.67

28. Fabiani C., Vitale A., Orlando I., Sota J., Capozzoli M., Franceschini R., Galeazzi M., Tosi G.M., Frediani B., Cantarini L. Quality of life impairment in Behçet’s disease and relationship with disease activity: a prospective study. Internal and Emergency Medicine. 2017;12(7), 947–955. DOI: 10.1007/s11739-017-1691-z

29. Kaçmaz R.O., Kempen J.H., Newcomb C., Gangaputra S., Daniel E., Jabs D.A., Foster S.C. Ocular inflammation in Behçet disease: incidence of ocular complications and of loss of visual acuity. Am J Ophthalmol. 2008 Dec;146(6):828–836. DOI: 10.1016/j.ajo.2008.06.019.

30. Tayler M. Schwartz, Robert T. Keenan, Melissa B. Daluvoy. Ocular Involvement in Rheumatoid Arthritis. EyeNet Magazine November. 2016;Nov.:37–39.

31. Harthan J., Opitz D., Fromstein S., Morettin C. Diagnosis and treatment of anterior uveitis: optometric management. Clin Optom (Auckl). 2016;8:23–35. DOI: 10.2147/OPTO.S72079

32. Kanski J., Pavesio C., Tuft S. Ocular inflammatory disease. Philadelphia: ElsevierMosby; 2006.

33. Felson D.T., Anderson J.J., Boers M. American College of Rheumatology. Preliminary definition of improvement in rheumatoid arthritis. Arthritis Rheum. 1995;38(6):727–735. DOI: 10.1002/art.1780380602

34. Zlatanović G., Veselinović D., Cekić S., Živković M., Đorđević-Jocić J., Zlatanovic M. Ocular manifestation of rheumatoid arthritis-different forms and frequency. Bosn J Basic Med Sci. 2010 Nov;10(4):323–327. DOI: 10.17305/bjbms.2010.2680

35. Buyukavsar C., Karagoz E., Sonmez M., Kar T., Kaya A., Duzgun E., Yildirim Y. A Rare Ocular Manifestation of Adult Onset Still’s Disease: Purtscher’slike Retinopathy. Ocul Immunol Inflamm. 2018;26(2):286-291. DOI: 10.1080/09273948.2016.1213857.

36. Yachoui R. Purtscher-like retinopathy associated with adult-onset Still disease. Retin Cases Brief Rep. 2018 Fall;12(4):379–381. DOI: 10.1097/ICB.0000000000000515

37. Liu F.C., Chiang S.Y., Chang D.M., Lai J.H., Hou T.Y., Chen C.H. Purtscher’s-like retinopathy as an initial presentation of adult-onset Still’s disease: a case report and review of the literature. Clin Rheumatol. 2007 Jul;26(7):1204–1206. DOI: 10.1007/s10067-006-0345-8

38. Heiligenhaus A., Heinz C., Edelsten C., Kotaniemi K., Minden K. Review for Disease of the Year: Epidemiology of Juvenile Idiopathic Arthritis and its Associated Uveitis: The Probable Risk Factors. Ocular Immunol Inflamm. 2013;21(3):180–191. DOI: 10.3109/09273948.2013.791701

39. Pruunsild C., Uibo K., Liivamagi H., Tarraste T., Talvik T., Pelkonen P. Incidence of juvenile idiopathic arthritis in children in Estonia: a prospective population-based study. Scand J Rheumatol. 2007;36(1):7–13. DOI: 10.1080/03009740601089259.

40. Riise Ø.R., Handeland K.S., Cvancarova M., Wathne K.O., Nakstad B., Abrahamsen T.G., Kirkhus E., Floto B. Incidence and characteristics of arthritis in Norwegian children: a population-based study. Pediatrics. 2008 Feb;121(2):e299–306. DOI: 10.1542/peds.2007-0291

41. Solau-Gervais E., Robin C., Gambert C., Troller S., Danner S., Gombert B., Debiais F., Hankard R. Prevalence and distribution of juvenile idiopathic arthritis in a region of Western France. Joint Bone Spine. 2010 Jan;77(1):47–49. DOI: 10.1016/j.jbspin.2009.11.002

42. Modesto C., Antón J., Rodriguez B., Bou R., Arnal C., Ros J., Tena X., Rodrigo C., Rotes I., Hermosilla E., Barcelo P. Incidence and prevalence of juvenile idiopathic arthritis in Catalonia (Spain). Scand J Rheumatol. 2010 Nov;39(6):472–479. DOI: 10.3109/03009741003742722

43. Ravelli A., Felici E., Magni-Manzoni S., Pistorio A., Novarini C., Bozzola E., Viola S., Martini A. Patients with antinuclear antibody-positive juvenile idiopathic arthritis constitute a homogeneous subgroup irrespective of the course of joint disease. Arthritis Rheum. 2005 Mar;52(3):826–832. DOI: 10.1002/art.20945

44. Heiligenhaus A., Niewerth M., Ganser G., Heinz C., Minden K. Prevalence and complications of uveitis in juvenile idiopathic arthritis in a population-based nation-wide study in Germany: suggested modification of the current screening guidelines. Rheumatology (Oxford). 2007 Jun;46(6):1015–1019. DOI: 10.1093/rheumatology/kem053

45. Kotaniemi K., Kautiainen H., Karma A., Aho K. Occurrence of uveitis in recently diagnosed juvenile chronic arthritis: a prospective study. Ophthalmology. 2001 Nov;108(11):2071–2075. DOI: 10.1016/s0161-6420(01)00773-4

46. Burgos-Vargas R., Pacheco-Tena C., Vázquez-Mellado J. The juvenile-onset spondyloarthritides: rationale for clinical evaluation. Best Pract Res Clin Rheumatol. 2002 Sep;16(4):551–572. DOI: 10.1053/berh.2002.0247

47. Durrani O.M., Tehrani N.N., Marr J.E., Moradi P., Stavrou P., Murray P.I. Degree, duration, and causes of visual loss in uveitis. Br J Ophthalmol. 2004 Sep;88(9):1159– 1162. DOI: 10.1136/bjo.2003.037226

48. Lardenoye C.W., van Kooij B., Rothova A. Impact of macular edema on visual acuity in uveitis. Ophthalmology. 2006 Aug;113(8):1446–1449. DOI: 10.1016/j.ophtha.2006.03.027

49. Rothova A., Suttorp-van Schulten M.S., Frits Treffers W., Kijlstra A. Causes and frequency of blindness in patients with intraocular inflammatory disease. Br J Ophthalmol. 1996;80(4):332–336. DOI: 10.1136/bjo.80.4.332

50. Taylor S.R., Lightman S.L., Sugar E.A., Jaffe G.J., Freeman W.R., Altaweel M.M., Kozak I., Holbrook J.T., Jabs D.A., Kempen J.H. The impact of macular edema on visual function in intermediate, posterior, and panuveitis. Ocul Immunol Inflamm. 2012 Jun;20(3):171–181. DOI: 10.3109/09273948.2012.658467

51. De Boer J., Steijaert A., van den Bor R., Stellato R., Ossewaarde-van Norel J. Development of macular edema and impact on visual acuity in uveitis associated with juvenile idiopathic arthritis. Ocul Immunol Inflamm. 2015 Feb;23(1):67–73. DOI: 10.3109/09273948.2013.871566

52. Tristano A.G. Neurological adverse events associated with anti-tumor necrosis factor α treatment. J Neurol. 2010 Sep;257(9):1421–1431. DOI: 10.1007/s00415-0105591-7

53. Thorne J.E., Woreta F., Kedhar S.R., Dunn J.P., Jabs D.A. Juvenile idiopathic arthritis-associated uveitis: incidence of ocular complications and visual acuity loss. Am J Ophthalmol. 2007 May;143(5):840–846. DOI: 10.1016/j.ajo.2007.01.033

54. Woreta F., Thorne J.E., Jabs D.A., Kedhar S.R., Dunn J.P. Risk factors for ocular complications and poor visual acuity at presentation among patients with uveitis associated with juvenile idiopathic arthritis. Am J Ophthalmol. 2007 Apr;143(4):647–655. DOI: 10.1016/j.ajo.2006.11.025

55. Ohara K., Okubo A., Sasaki H., Kamata K. Intraocular manifestations of systemic sarcoidosis. Jpn J Ophthalmol. 1992;36(4):452–457. PMID: 1289622

56. Chumbley L.C., Kearns T.P. Retinopathy of sarcoidosis. Am J Ophthalmol. 1972 Jan;73(1):123–131. DOI: 10.1016/0002-9394(72)90314-5.

57. Cook B.E. Jr., Robertson D.M. Confluent choroidal infiltrates with sarcoidosis. Retina. 2000;20(1):1–7. DOI: 10.1097/00006982-200001000-00001

58. Desai U.R., Tawansy K.A., Joondeph B.C., Schiffman R.M. Choroidal granulomas in systemic sarcoidosis. Retina. 2001;21(1):40–47. DOI: 10.1097/00006982200102000-00007

59. Thorne J.E., Brucker A.J. Choroidal white lesions as an early manifestation of sarcoidosis. Retina. 2000;20(1):8–15. DOI: 10.1097/00006982-200001000-00002

60. Herbort C.P., Rao N.A., Mochizuki M.; members of Scientific Committee of First International Workshop on Ocular Sarcoidosis. International criteria for the diagnosis of ocular sarcoidosis: results of the first International Workshop On Ocular Sarcoidosis (IWOS). Ocul Immunol Inflamm. 2009 May-Jun;17(3):160–169. DOI: 10.1080/09273940902818861

61. Acharya N.R., Browne E.N., Rao N., Mochizuki M., International Ocular Sarcoidosis Working Group. Distinguishing Features of Ocular Sarcoidosis in an International Cohort of Uveitis Patients. Ophthalmology. 2018 Jan;125(1):119–126. DOI: 10.1016/j.ophtha.2017.07.006

62. Matsou A., Tsaousis K.T. Management of chronic ocular sarcoidosis: challenges and solutions. Clin Ophthalmol. 2018 Mar 19;12:519–532. DOI: 10.2147/OPTH. S128949

63. Birnbaum A.D., Oh F.S., Chakrabarti A., Tessler H.H., Goldstein D.A. Clinical features and diagnostic evaluation of biopsy-proven ocular sarcoidosis. Arch Ophthalmol. 2011 Apr;129(4):409–413. DOI: 10.1001/archophthalmol.2011.52

64. Jabs D.A., Johns C.J. Ocular involvement in chronic sarcoidosis. Am J Ophthalmol. 1986 Sep 15;102(3):297–301. DOI: 10.1016/0002-9394(86)90001-2

65. Dammacco R., Biswas J., Kivelä T.T., Zito F.A., Leone P., Mavilio A., Sisto D., Alessio G., Dammacco F. Ocular sarcoidosis: clinical experience and recent pathogenetic and therapeutic advancements. Int Ophthalmol. 2020 Dec;40(12):3453–3467. DOI: 10.1007/s10792-020-01531-0

66. Yang S.J., Salek S., Rosenbaum J.T. Ocular sarcoidosis: new diagnostic modalities and treatment. Current Opinion in Pulmonary Medicine. 2017;23(5):458–467. DOI: 10.1097/MCP.0000000000000409

67. Rothova A. Ocular involvement in sarcoidosis. Br J Ophthalmol. 2000;84(1):110– 116. DOI: 10.1136/bjo.84.1.110

68. Pasadhika S., Rosenbaum J.T. Ocular Sarcoidosis. Clin Chest Med. 2015 Dec;36(4):669–683. DOI: 10.1016/j.ccm.2015.08.009

69. Davuluri G., Reed G.F., Smith J.A., Rubin B., Nussenblatt R.B., Levy-Clarke G.A. Ocular Complications of Sarcoidosis. Invest. Ophthalmol. Vis. Sci. 2006;47(13):585.

70. Stavrou P., Linton S., Young D.W., Murray P.I. Clinical diagnosis of ocular sarcoidosis. Eye (Lond). 1997;11 (Pt 3):365–370. DOI: 10.1038/eye.1997.77


Review

For citations:


Davydova G.A., Lisitsyna T.A., Kovaleva L.A., Sorozhkina E.S., Zaitseva A.A., Baisangurova A.A. Clinical Variations of Uveitis in Immuno-Inflammatory Diseases. Review of the Literature. Part 1. Ophthalmology in Russia. 2022;19(3):465-474. (In Russ.) https://doi.org/10.18008/1816-5095-2022-3-465-474

Views: 786


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1816-5095 (Print)
ISSN 2500-0845 (Online)