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Abstract #95155 Published in IGR 22-2

Iris Depigmentation in the Prediction of Cytomegalovirus Anterior Uveitis

Kam KW; Wong CH; Ho M; Sze RKH; Chan PKS; Young AL
Ocular Immunology and Inflammation 2021; 0: 1-6


PURPOSE: We hypothesize that the presence of iris depigmentation is associated with the prediction of cytomegalovirus (CMV) as the etiology of chronic or recurrent anterior uveitis. METHODS: A prospective cohort study on patients with recurrent or chronic anterior uveitis. Pre-operative data on iris depigmentation and corneal endothelial cell densities were compared between eyes with and without CMV. RESULTS: Forty-one eyes of 38 subjects with a mean age of 61.1 ± 11.2 years old were recruited. Seventeen eyes were positive for CMV. A greater proportion of eyes with CMV showed severe or diffuse iris depigmentation than eyes without CMV, and possessed larger corneal endothelial cells ( = .028). When severe iris depigmentation was present with a reduced endothelial cell density, the positive and negative predictive values were raised to 100.0% and 64.9% from 41.5% and 58.5%, respectively. CONCLUSION: Iris depigmentation is a potential clinical biomarker in predicting CMV in chronic or recurrent anterior uveitis.

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