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. 2025 Jul 30:12:1609613.
doi: 10.3389/fmed.2025.1609613. eCollection 2025.

Predictors of uveitic macular edema and functional prognostic outcomes: real-life data from the international AIDA Network uveitis registry

Jurgen Sota  1 Germán Mejía-Salgado  2 Silvana Guerriero  3 Gaafar Ragab  4   5 Stefania Costi  6 Maria Pia Paroli  7 Andrea Hinojosa-Azaola  8 Giuseppe Lopalco  9 Luciana Breda  10 Henrique Ayres Mayrink Giardini  11 Alex Fonollosa  12 Maria Sole Chimenti  13 Antonio Vitale  1 Carla Gaggiano  1 Blanca Aguilar-Barrera  2 Laura Daniela Rodríguez-Camelo  2 Guillermo Arturo Guaracha-Basañez  8 Mohamed Tharwat Hegazy  4   5 Rosanna Dammacco  3 Valeria Albano  3 Eduardo Martín-Nares  8 Santiago Espinosa-Lugo  2 Mahmoud Ghanema  4 Maria Morrone  9 Saverio La Bella  10 Rafael Alves Cordeiro  11 Francesco Carubbi  14 Alessandro Conforti  15 Piero Ruscitti  16 Ibrahim AlMaglouth  17 Rosaria Talarico  18 Stefano Gentileschi  1 Petros P Sfikakis  19 Valeria Caggiano  1 Matteo Piga  20 Adele Civino  21 Francesca Ricci  22 Maissa Thabet  23 Marcello Govoni  24 Abdurrahman Tufan  25 Francesca Crisafulli  26 Jessica Sbalchiero  1 Sulaiman M Al-Mayouf  27 Angela Mauro  28   29 Soad Hashad  30   31 Francesca Minoia  32 Alma Nunzia Olivieri  33 Samar Tharwat  34   35 Maria Cristina Maggio  36 Abdelhfeez Moshrif  37 Gian Domenico Sebastiani  38 Daniela Opris-Belinski  39 Gülen Hatemi  40   41 Haner Direskeneli  42 Fatma Alibaz-Öner  42 Lampros Fotis  43 José Hernández-Rodríguez  44 Giovanni Conti  45 Piercarlo Sarzi Puttini  46 Ombretta Viapiana  47 Annarita Giardina  48 Patrizia Barone  49 Kalpana Babu  50 Rana Hussein Amin  51 Perla Ayumi Kawakami-Campos  52 Vishali Gupta  53 Annamaria Iagnocco  54 Ali Şahin  55 Antonella Insalaco  56 Andrés González-García  57 Ezgi Deniz Batu  58 Ester Carreño  59 Emanuela Del Giudice  60 Cecilia Beatrice Chighizola  61   62 Fabrizio Conti  63 Alberto Balistreri  64 Bruno Frediani  1 Luca Cantarini  1 Alejandra de-la-Torre  2 Claudia Fabiani  65
Affiliations

Predictors of uveitic macular edema and functional prognostic outcomes: real-life data from the international AIDA Network uveitis registry

Jurgen Sota et al. Front Med (Lausanne). .

Abstract

Objectives: To detect factors capable of predicting the development of macular edema (ME) throughout the disease course in patients affected by non-infectious uveitis (NIU).

Methods: Predictive factors leading to the development of ME were analyzed through regression analysis. The functional impact of ME on best corrected visual acuity (BCVA) was also examined.

Results: A total of 1,160 NIU patients (1,857 eyes) were analyzed. ME was observed in 148 (12.76%), affecting 211 eyes. It was significantly more frequent in patients with non-anterior NIU (p < 0.0001, RR = 4.01), retinal vasculitis (p < 0.0001), and other structural complications (p = 0.0005). Gender, HLA-B*27 and/or HLA-B*51 positivity, and ethnicity did not show any significant impact on the prevalence of ME (p = 0.635, p = 0.372, p = 0.193, respectively). Four variables were associated with ME development during NIU course: the non-anterior anatomical pattern (p < 0.0001, OR = 4.01), the presence of retinal vasculitis (p = 0.028, OR = 1.68), complications other than ME (p = 0.044, OR = 1.51) and immunosuppressive treatment (p = 0.010, OR 1.69) while the diagnosis of Behçet disease-related uveitis was less likely to be associated with ME development (p = 0.24, OR 0.545). Mean ± SD BCVA was significantly lower in eyes with ME (0.82 ± 0.30) compared to eyes without ME (0.71 ± 0.33).

Conclusion: ME can develop across all NIU types, but is more likely in cases involving the posterior segment and retinal vasculitis. Regular and focused monitoring is recommended for these high-risk patients. The study also highlights the limited predictive value of demographic and HLA-related factors, helping refine clinical risk stratification and predictive modeling in NIU.

Keywords: macular edema; registries; retinal vasculitis; uveitis; visual acuity.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.

Figures

Figure 1
Figure 1
Chart showing the selection process for the patients enrolled. AIDA, Autoinflammatory Disease Alliance; NIU, non-infectious uveitis.
Figure 2
Figure 2
Dsitrubtion of age at onset for pre-established age groups, expressed in years.
Figure 3
Figure 3
Associated systemic diseases and oculo-specific entities. IBD, inflammatory bowel disease; JIA, juvenile idiopathic arthritis; NIU, non-infectious uveitis; SpA, Spondyloarthritis; TINU, Tubulointerstitial nephritis and Uveitis; SLE, systemic lupus erythematosus; VKH, Vogt-Koyanagi Harada. *Human Leukocyte Antigen-B*27-associated uveitis (n = 6), Birdshot retinochoroiditis (n = 6), Punctate Inner Choroidopathy (n = 4), Serpiginous choroiditis (n = 2), Sympathetic ophthalmia (n = 1), Idiopathic retinal vasculitis, aneurysms and neuroretinitis (IRVAN) (n = 1), not specified (n = 6).

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