Journals / Güncel Retina Dergisi / 2018 / Cilt: 2 - Sayı: 4

Ocular Involvement, Prognosis and Complications in Behçet’s Disease

Behçet Hastalığında Göz Tutulumu, Prognoz ve Komplikasyonlar

Pages
384–387
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Hopefully, recent years have demonstrated good results on the visual prognosis with the use of biologic agents.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Ocular Behçet syndrome, which may develop both in children and adults, has a high ocular morbidity.
📊
Key Findings & Data:Ocular involvement develops in about half of Behçet patients and various symptoms and signs are present as a result of unilateral or bilateral attacks of anterior, intermediate or posterior uveitis.
💡
Conclusion & Impact:Hopefully, recent years have demonstrated good results on the visual prognosis with the use of biologic agents.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Ocular Behçet syndrome, which may develop both in children and adults, has a high ocular morbidity. Ocular involvement develops in about half of Behçet patients and various symptoms and signs are present as a result of unilateral or bilateral attacks of anterior, intermediate or posterior uveitis. The syndromic process of the disease is characterized by un-predictable and not self-limiting attacks from one eye to the other. The severity of the disease also changes from patient to patient. Although ocular involvement generally occurs after oromucocutanous involvement, it may be the first presentation in some cases and the prognosis is bad if the follow up is not sufficient. The prognosis is good in cases of anterior uveitis whereas posterior and panuveitis have bad prognosis as a result of complications. Hopefully, recent years have demonstrated good results on the visual prognosis with the use of biologic agents.

Özet

Hem çocuk hem de büyüklerde gözlenebilen oküler Behçet sendromu, görsel açıdan yüksek morbidite içermektedir. Behçet sendromu tanısı ile takip edilen hastaların yaklaşık yarısında göz tutulumu gerçekleşir. Bu olgularda tek veya çift taraflı tekrarlayan ön, orta veya arka üveit atakları gelişmesi sonucunda zaman içerisinde gözün her katmanında değişik semptom ve bulgularla hasta göz kliniklerine başvurur. Oküler tutulum, kendini sınırlamayan ve beklenmedik ataklarla bir gözden diğerine atlayan ve ciddiyeti de hastadan hastaya değişebilen sendromik bir prosestir. Yıllar içerisinde hastalık sönse de kronik ve siklitik karakteri ve atak-remisyon tarzındaki geliş gidişleri nedeni ile prognozu ve gelişebilecek komplikasyonları açısından bir öngörüde bulunmak zordur. Göz tutulumu genellikle oro-mukokütanöz tutulumdan sonra gelişmekle beraber nadiren ilk tutulum da olabilir ve yakın takibi yapılmadığında prognozu iyi değildir. Ön üveiti olan olgularda prognoz genel olarak iyi olmakla beraber arka veya panüveit durumunda gelişen komplikasyonlar nedeni ile prognoz kötüdür. Ancak, biyolojik ajanların son yıllarda kullanıma girmiş olması sayesinde hedefe yönelik tedavilerle görsel prognoz oldukça iyileşmiştir.

🔖

Cite This Article

EVEREKLİOĞLU, C., KARACA, Ç. (2018). Ocular Involvement, Prognosis and Complications in Behçet’s Disease. Güncel Retina Dergisi, Cilt: 2 - Sayı: 4, 384–387. https://ajindex.com/articles/212517

References (9)

  1. Evereklioglu C. Author’s response [letter]. Surv Ophthalmol 2006;51(2):174–7. Evereklioglu C. Inclusion and exclusion criteria, methodological flaw and ethical concepts for the treatment of patients with ocular Behçet disease. Dermatol Online J 2007;13(3):35. Evereklioglu C. The treatment schedule and historical naming process of Behçet disease [letter]. J Eur Acad Dermatol Venereol 2007;21(3):427–8. Evereklioglu C. The migration pattern, patient selection with diagnostic methodological flaw and confusing naming dilemma in Behçet disease. Eur J Echocardiogr 2007;8(3):167–73. Evereklioglu C. Regarding the naming dilemma of Behçet disease in the 21th century. Oral Dis 2007;13(1):117–21. Evereklioglu C. Behçet’s disease or Adamantiades–Behçet disease? An evidence–based historical survey. Med Sci Monit 2010;16(6):136–42. Evereklioglu C. Current concepts in the etiology and treatment of Behçet disease. Surv Ophthalmol 2005;50(4):297–350.
  2. Borlu M, Ukşal Ü, Ferahbaş A, Evereklioglu C. Clinical features of Behçet’s disease in children. Int J Dermatol 2006;45(6):713–6. Evereklioglu C. Diagnostic dilemma between intestinal Behçet disease and inflammatory bowel disease with pyoderma gangrenosum. World J Gastroenterol 2006;12(35):5748–51.
  3. Evereklioglu C, Çokkeser Y, Doganay S, Er H, Kızılay A. Audio–vestibular evaluation in patients with Behçet’s syndrome. J Laryngol Otol 2001;115(9):704–8.
  4. Evereklioglu C, Turkoz Y, Er H, Inaloz HS, Ozbek E, Cekmen M. Increased nitric oxide production in patients with Behçet’s disease: is it a new activity marker? J Am Acad Dermatol. 2002; 46(1): 50-4.
  5. Evereklioglu C, Çekmen M, Özkiriş A, Karabaş L, Çalış M. The pathophysiological significance of red blood cell nitric oxide concentrations in inflammatory Behçet’s disease. Mediators Inflamm 2003;12(4):255–6.
  6. Evereklioglu C, Inalöz HS, Kirtak N, et al. Serum leptin concentration is increased in patients with Behçet’s syndrome and is correlated with disease activity. Br J Dermatol 2002;147(2):331–6.
  7. Evereklioglu C, Yürekli M, Er H, et al. Increased plasma adrenomedullin levels in patients with Behçet’s disease. Dermatology 2000;201(4):312–5.
  8. Evereklioglu C, Özbek E, Er H, Cekmen M, Yurekli M. Urinary adrenomedullin levels are increased and correlated with plasma concentrations in patients with Behçet’s syndrome. Int J Urol 2002;9(6):296–303.
  9. Evereklioglu C, Özbek E, Çekmen M, et al. Urinary nitric oxide levels are increased and correlated with plasma concentrations in patients with Behçe