Clinical Features, Long-Term Outcomes, and Prognostic Factors of Eales' Disease in Korean Patients

Ocul Immunol Inflamm. 2024 Jul;32(5):621-627. doi: 10.1080/09273948.2023.2183870. Epub 2023 Mar 10.

Abstract

Purpose: We studied Korean patients with Eales' disease to document clinical features, long-term outcomes, and explore its association with TB, given South Korea's high TB burden.

Methods: We retrospectively reviewed medical records of Eales' disease patients for clinical characteristics, long-term outcomes, and its association with TB.

Results: Among 106 eyes, the average age of diagnosis was 39.28 years, with 82.7% male and 58.7% having unilateral involvement. Patients who underwent vitrectomy showed greater long-term improvement in visual acuity (P = .047), while those with glaucoma filtration surgery showed less improvement (P = .008). Having glaucoma through disease progression was associated with poor visual outcomes (odds ratio=15.556, P < .02). 27 out of 39 patients (69.23%) who underwent IGRA screening tested positive for TB.

Conclusions: In Korean patients with Eales' disease, we observed male predominance, unilateral presentation, older age of onset, and a link with TB. Timely diagnosis and management should be considered to maintain good vision in patients with Eales' disease.

Keywords: Korea; retinal vasculitis; tuberculosis; vitreous hemorrhage.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Neovascularization, Pathologic
  • Prognosis
  • Republic of Korea / epidemiology
  • Retinal Vasculitis* / diagnosis
  • Retrospective Studies
  • Tuberculosis, Ocular / diagnosis
  • Visual Acuity* / physiology
  • Vitrectomy*
  • Young Adult

Supplementary concepts

  • Eales disease