Clinical background comparison of patients with and without ocular inflammatory attacks after initiation of infliximab therapy

Purpose To examine the factors affecting the efficacy of infliximab (IFX) as a treatment for uveitis in Behçet’s disease. Methods Clinical records of 29 patients with refractory uveoretinitis were examined retrospectively for the period between 6 months before the initiation of IFX therapy to 12 months thereafter. The patients were divided into two groups based on the absence (Group 1) or occurrence (Group 2) of ocular inflammatory attacks during the observation period after IFX therapy, and the clinical records of the groups were compared Results The mean age at onset of ocular inflammation in Group 1 patients ( n = 17) was lower than that in Group 2 patients ( n = 12) ( p = 0.023). Compared to Group 2 patients, the period from onset to IFX therapy in Group 1 was longer ( p = 0.037), and the frequency of ocular inflammatory attacks before IFX therapy was lower ( p = 0.013). The rates of ocular fundus attacks before IFX therapy were 0.82 ± 0.28 in Group 1 and 0.96 ± 0.10 in Group 2 ( p = 0.040). Three of 33 (9.1 %) eyes in Group 1 and nine of 24 eyes (37.5 %) in Group 2 had an improved best-corrected visual acuity of >0.2 logarithm of the minimal angle resolution ( p