Diagnosis and treatment for ocular tuberculosis among uveitis specialists: The international perspective

Uveitis Specialists Study Group

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose: To assess the approach of international specialists, who primarily practice in tuberculosis-endemic areas, to ocular tuberculosis (TB). Methods: International experts from India, Brazil, Taiwan, and more than 10 other countries were surveyed using two clinical cases and general questions. Results: A total of 244 experts were sent a survey about the treatment and diagnosis of ocular tuberculosis; 65 responded (27%), of whom 34 were affiliated with practices in India, while 31 primarily practice at international sites outside of India and North America. The data from this survey were compared with the results of a similar survey sent to members of the American Uveitis Society. The survey provided normative data on how physicians evaluate patients with uveitis as well as opinions about ocular TB. Responses varied widely on topics such as tests to include in the workup of undifferentiated uveitis, initial therapy, and duration of treatment. Physicians from developing countries relied more on chest CT scans and tuberculin skin testing (TST) than their counterparts in developed countries. Conclusions: The approach to diagnosis and management of TB is heterogeneous worldwide. However, there are substantial differences in the clinical approach to uveitis depending on the clinician's location of practice.

Original languageEnglish
Pages (from-to)32-39
Number of pages8
JournalOcular Immunology and Inflammation
Volume23
Issue number1
DOIs
Publication statusPublished - 01-01-2015

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Ocular Tuberculosis
Internationality
Uveitis
India
Tuberculosis
Physicians
Tuberculin
Therapeutics
North America
Taiwan
Developed Countries
Developing Countries
Brazil
Thorax
Skin
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Ophthalmology

Cite this

@article{8425f3e8eaaf442bbc038b1386c6897f,
title = "Diagnosis and treatment for ocular tuberculosis among uveitis specialists: The international perspective",
abstract = "Purpose: To assess the approach of international specialists, who primarily practice in tuberculosis-endemic areas, to ocular tuberculosis (TB). Methods: International experts from India, Brazil, Taiwan, and more than 10 other countries were surveyed using two clinical cases and general questions. Results: A total of 244 experts were sent a survey about the treatment and diagnosis of ocular tuberculosis; 65 responded (27{\%}), of whom 34 were affiliated with practices in India, while 31 primarily practice at international sites outside of India and North America. The data from this survey were compared with the results of a similar survey sent to members of the American Uveitis Society. The survey provided normative data on how physicians evaluate patients with uveitis as well as opinions about ocular TB. Responses varied widely on topics such as tests to include in the workup of undifferentiated uveitis, initial therapy, and duration of treatment. Physicians from developing countries relied more on chest CT scans and tuberculin skin testing (TST) than their counterparts in developed countries. Conclusions: The approach to diagnosis and management of TB is heterogeneous worldwide. However, there are substantial differences in the clinical approach to uveitis depending on the clinician's location of practice.",
author = "{Uveitis Specialists Study Group} and Lou, {Susan M.} and Montgomery, {Paul A.} and Larkin, {Kelly L.} and Kevin Winthrop and Manfred Zierhut and Rosenbaum, {James T.} and Aba{\~n}o, {Jessica Marie R.} and Mamta Agarwal and Aniruddha Agarwal and Anita Agarwal and Rupesh Agrawal and Zamzam Al-Baker and Hassan Al-Dhibi and Amin, {Rowayda M.} and Radha Annamali and Anuradha, {V. K.} and Rajesh Babu and Abhilasha Baharani and Pradeep Bambery and Alay Banker and Reema Bansal and Rubens Belfort and Jyotirmay Biswas and Campos, {Wesley Ribeiro} and Chang, {Yo Chen} and Chee, {Soon Phaik} and Curi, {Andre Luiz Land} and Dipankar Das and Priyanka Doctor and Dudani, {Ajay I.} and Rola Hamam and Hwang, {De Kuang} and Smitha Jasper and John, {Sheeja S.} and Kamath, {Yogish Subraya} and Moncef Khairallah and Manoj Khatri and Padmaja Krishnan and Mirunalini Kumaradas and La, {Distia Nora Rina} and Lin, {Chun Ju} and Lin, {Chang Ping} and Lopez, {Juan S.} and Rifna Lutfiamida and Padmamalini Mahendradas and Parthopratim Majumder and Santanu Mandal and Navneet Mehrotra and Ilhem Mili-Boussen and Minija, {C. K.}",
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Diagnosis and treatment for ocular tuberculosis among uveitis specialists : The international perspective. / Uveitis Specialists Study Group.

In: Ocular Immunology and Inflammation, Vol. 23, No. 1, 01.01.2015, p. 32-39.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Diagnosis and treatment for ocular tuberculosis among uveitis specialists

T2 - The international perspective

AU - Uveitis Specialists Study Group

AU - Lou, Susan M.

AU - Montgomery, Paul A.

AU - Larkin, Kelly L.

AU - Winthrop, Kevin

AU - Zierhut, Manfred

AU - Rosenbaum, James T.

AU - Abaño, Jessica Marie R.

AU - Agarwal, Mamta

AU - Agarwal, Aniruddha

AU - Agarwal, Anita

AU - Agrawal, Rupesh

AU - Al-Baker, Zamzam

AU - Al-Dhibi, Hassan

AU - Amin, Rowayda M.

AU - Annamali, Radha

AU - Anuradha, V. K.

AU - Babu, Rajesh

AU - Baharani, Abhilasha

AU - Bambery, Pradeep

AU - Banker, Alay

AU - Bansal, Reema

AU - Belfort, Rubens

AU - Biswas, Jyotirmay

AU - Campos, Wesley Ribeiro

AU - Chang, Yo Chen

AU - Chee, Soon Phaik

AU - Curi, Andre Luiz Land

AU - Das, Dipankar

AU - Doctor, Priyanka

AU - Dudani, Ajay I.

AU - Hamam, Rola

AU - Hwang, De Kuang

AU - Jasper, Smitha

AU - John, Sheeja S.

AU - Kamath, Yogish Subraya

AU - Khairallah, Moncef

AU - Khatri, Manoj

AU - Krishnan, Padmaja

AU - Kumaradas, Mirunalini

AU - La, Distia Nora Rina

AU - Lin, Chun Ju

AU - Lin, Chang Ping

AU - Lopez, Juan S.

AU - Lutfiamida, Rifna

AU - Mahendradas, Padmamalini

AU - Majumder, Parthopratim

AU - Mandal, Santanu

AU - Mehrotra, Navneet

AU - Mili-Boussen, Ilhem

AU - Minija, C. K.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Purpose: To assess the approach of international specialists, who primarily practice in tuberculosis-endemic areas, to ocular tuberculosis (TB). Methods: International experts from India, Brazil, Taiwan, and more than 10 other countries were surveyed using two clinical cases and general questions. Results: A total of 244 experts were sent a survey about the treatment and diagnosis of ocular tuberculosis; 65 responded (27%), of whom 34 were affiliated with practices in India, while 31 primarily practice at international sites outside of India and North America. The data from this survey were compared with the results of a similar survey sent to members of the American Uveitis Society. The survey provided normative data on how physicians evaluate patients with uveitis as well as opinions about ocular TB. Responses varied widely on topics such as tests to include in the workup of undifferentiated uveitis, initial therapy, and duration of treatment. Physicians from developing countries relied more on chest CT scans and tuberculin skin testing (TST) than their counterparts in developed countries. Conclusions: The approach to diagnosis and management of TB is heterogeneous worldwide. However, there are substantial differences in the clinical approach to uveitis depending on the clinician's location of practice.

AB - Purpose: To assess the approach of international specialists, who primarily practice in tuberculosis-endemic areas, to ocular tuberculosis (TB). Methods: International experts from India, Brazil, Taiwan, and more than 10 other countries were surveyed using two clinical cases and general questions. Results: A total of 244 experts were sent a survey about the treatment and diagnosis of ocular tuberculosis; 65 responded (27%), of whom 34 were affiliated with practices in India, while 31 primarily practice at international sites outside of India and North America. The data from this survey were compared with the results of a similar survey sent to members of the American Uveitis Society. The survey provided normative data on how physicians evaluate patients with uveitis as well as opinions about ocular TB. Responses varied widely on topics such as tests to include in the workup of undifferentiated uveitis, initial therapy, and duration of treatment. Physicians from developing countries relied more on chest CT scans and tuberculin skin testing (TST) than their counterparts in developed countries. Conclusions: The approach to diagnosis and management of TB is heterogeneous worldwide. However, there are substantial differences in the clinical approach to uveitis depending on the clinician's location of practice.

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VL - 23

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