Publications by authors named "Usanee Tungsattayathitthan"
Article Synopsis
- Syphilis can present in various ways, including ocular symptoms that may resemble Behçet's disease, highlighting the importance of distinguishing between the two conditions.
- A case involving a 38-year-old Thai man with Behçet's panuveitis developed complications from ocular syphilis despite initially negative tests, showcasing the complexity of diagnosis when immunomodulatory therapy is used.
- Treatment with intravenous penicillin G led to improvement, emphasizing the need for careful reevaluation and biopsy in cases where clinical presentations overlap.
This retrospective cohort study investigated patients with cytomegalovirus anterior uveitis (CMV AU) and compared treatment outcomes between regional and systemic antiviral therapies. Treatment modalities included topical (2% ganciclovir [GCV] eye drops or 0.2% GCV eye gel) and systemic (intravenous GCV or oral valganciclovir) groups.
View Article and Find Full Text PDFBackground: Ocular toxoplasmosis (OT) is the most common cause of infectious uveitis worldwide, including Thailand. This study describes the clinical presentation, visual acuity (VA) outcomes, and factors associated with VA loss in patients with active OT following antiparasitic treatment.
Methodology/principal Findings: A retrospective chart review of patients with active OT treated with antiparasitic drugs between 2010 and 2020 was performed.
Background: To determine the prevalence, clinical characteristics, and independent predictors of uveitic macular edema (UME) in patients with intermediate, posterior and panuveitis.
Methods: We retrospectively reviewed the records of patients with intermediate, posterior, and panuveitis who underwent macular assessment using optical coherence tomography between January 2015 and February 2020. The prevalence of UME and clinical characteristics of the patients were described.
Purpose: To investigate for association between skin autofluorescence (SAF) advanced glycation end products (AGEs) and uveitis/scleritis activity in systemic inflammatory disease-related active non-infectious uveitis/scleritis patients.
Methods: This cross-sectional study was conducted at Siriraj Hospital during October 2019 to March 2020. AGEs were measured by SAF method in systemic immune-related disease patients with active uveitis/scleritis, and those results were compared with those of healthy age-matched controls.
This study investigated the efficacy of golimumab in the management of refractory non-infectious panuveitis. Nineteen patients (38 eyes; mean age, 31 years) were retrospectively reviewed between June 2016 and June 2022. All patients had bilateral eye involvement and Behçet's disease was the most common diagnosis (57.
View Article and Find Full Text PDFThis study investigated the long-term visual acuity (VA) outcome in the eyes of children with uveitis and severe visual impairment (SVI; VA ≤ 20/200) at presentation. Fifty-one children [57 eyes; median age, 11 years; 51% female; median follow-up period, 36 months (interquartile range 14.9-64.
View Article and Find Full Text PDFPurpose: To investigate the incidence of and predictive factors for recurrent cytomegalovirus retinitis (CMVR) in human immunodeficiency virus (HIV)-negative patients.
Methods: A retrospective review of HIV-negative patients who were newly diagnosed with CMVR between January 2005 and February 2019.
Results: Of 28 patients (44 eyes), 35.
Article Synopsis
- Tuberculous uveitis (TBU) presents a variety of eye symptoms, making it hard for doctors to diagnose without supporting test results.
- Directly isolating the bacteria causing TBU from eye samples is often ineffective due to the small size of the specimens, leading to low test positivity rates.
- Immunodiagnostic tests like interferon-gamma release assays (IGRAs) are useful because they require only one visit and aren't influenced by previous vaccinations, with newer versions improving sensitivity for detecting active tuberculosis.