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Discrepancies in assessing anterior chamber activity among uveitis specialists

Yeo, TH; Ilangovan, S; Keane, PA; Pavesio, C; Agrawal, R; (2016) Discrepancies in assessing anterior chamber activity among uveitis specialists. Japanese Journal of Ophthalmology , 60 (3) pp. 206-211. 10.1007/s10384-016-0438-0. Green open access

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Abstract

PURPOSE: To evaluate current practices in anterior chamber (AC) inflammation assessment among uveitis specialists. METHODS: Uveitis specialists were invited to participate in an electronic survey designed to understand their practice in assessing AC inflammation. RESULTS: Sixty-five ophthalmologists participated in the survey. Of them, 69.2 % (n = 45) reported using the current Standardization of Uveitis Nomenclature (SUN) guidelines of a 1 × 1-mm slit beam when grading AC cells. Only 38.5 % (n = 5) reported routinely counting the number of cells. In the management of uveitis, 98.5 % (n = 64) valued flare assessment, but 84.6 % (n = 55) did not use laser flare photometry. In total, 36.9 % (n = 24) agreed that laser flare photometry would change their management, while 16.9 % (n = 11) did not see its usefulness. The remaining participants were undecided. CONCLUSION: A number of issues limit the clinical assessment of AC inflammation. Different classifications are still being used despite efforts to standardize practice. While the value of flare is widely recognized, the role of laser flare photometry remains controversial.

Type: Article
Title: Discrepancies in assessing anterior chamber activity among uveitis specialists
Location: Japan
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10384-016-0438-0
Publisher version: http://dx.doi.org/10.1007/s10384-016-0438-0
Language: English
Additional information: Copyright © Japanese Ophthalmological Society 2016. The final publication is available at Springer via http://dx.doi.org/10.1007/s10384-016-0438-0.
Keywords: Anterior chamber activity grading, Anterior chamber cells, Anterior chamber flare, Laser flare photometry
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/1481554
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