Vasculitis & polymyalgia rheumatica

Ocular manifestations of ANCA-associated vasculitis

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Ocular manifestations occur in all forms of AAV, especially in GPA.

Study context

Population
Individuals with ANCA-associated vasculitis (AAV) in longitudinal multicentre cohorts followed between 2006 and 2022
Participants
1,441 individuals
Exposure
Eosinophilic granulomatosis with polyangiitis (EGPA) vs granulomatosis with polyangiitis (GPA) vs microscopic polyangiitis (MPA)
  • EGPAn = 395
  • GPAn = 876
  • MPAn = 170
Outcome
Ocular manifestations at any time in the disease course
Methodological detailslongitudinal, multicentre, univariate and multivariable logistic regression
  • Longitudinal
  • Multicentre
  • Univariate and multivariable logistic regression

Main finding

As reported in the abstract

Ocular manifestations, all patients
23.1%

Observational data: associations, not effects.

Further findings

Ocular manifestations at onset vs during follow-up

At onset (n)
224
During follow-up (n)
120

Most common disease-related manifestations

Conjunctivitis/episcleritis and scleritis

Associations in multivariable analysis

Dacryocystitis, lacrimal duct obstruction and retro-orbital disease associated with sinonasal manifestations of GPA
Ocular manifestations associated with hearing loss in MPA

Most common ocular complications and/or damage

Cataracts (n)
168
Visual impairment (n)
195

Original publication

Ocular manifestations of ANCA-associated vasculitis. Rheumatology (Oxford). Published 28 November 2022. doi:10.1093/rheumatology/keac663

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