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[The seasonal course of recurrent uveitis in children and youth]
B Zatorska1, I Stechły, D Pojda-Wilczek
1Katedry i Oddziału Klinicznego Okulistyki Slaskiej AM w Katowicach Szpital Specjalistyczny Nr 1 w Bytomiu.
Insights
Pediatric uveitis often recurs seasonally, with rheumatic disease being a primary cause. Early diagnosis and consistent medical supervision are crucial for improving visual outcomes in children.
Area of Science:
- Ophthalmology
- Pediatrics
- Rheumatology
Context:
- Pediatric uveitis is a significant cause of vision impairment in children.
- Understanding the etiology and patterns of pediatric uveitis is essential for effective management.
- This study investigates the long-term course and outcomes of uveitis in a pediatric cohort.
Purpose:
- To analyze the causes, inflammation sites, recurrence rates, and visual function in pediatric uveitis.
- To identify etiological factors contributing to chronic and recurrent uveitis in children.
- To evaluate the impact of treatment on visual acuity in children with uveitis.
Summary:
- A 2-15 year analysis of 16 children (aged 4-18) with uveitis revealed identified etiological factors in 11 cases, with rheumatic disease being a primary cause of recurrence.
- Uveitis occurred unilaterally in 10 children and bilaterally in 6, with a recurrent pattern observed in most cases, showing seasonal peaks in spring and autumn.
- Visual acuity improved in 77.3% of eyes post-treatment, while 13.6% remained unchanged and 9.1% worsened, highlighting the need for early diagnosis and sustained care.
Impact:
- Findings underscore the chronic and recurrent nature of pediatric uveitis, often linked to rheumatic conditions.
- The study emphasizes the importance of early diagnosis and comprehensive medical supervision up to ages 16-18 for better visual prognoses.
- Results provide valuable insights for ophthalmologists and pediatricians managing childhood uveitis.
Purpose:
To analyse the etiology, localisation of inflammation, frequency of recurrences and the visual function in the course of uveitis in children.
Material And Methods:
Sixteen children aged 4-18 years with uveitis were analysed for 2 to 15 years (mean 6.3 years) from the occurrence of the first symptoms. The ophthalmological examination, laboratory investigations, pediatric, stomatology and laryngology consultations were performed in all children. The medical topical and general treatment in all patients was applied.
Results:
The certain etiological factors were found in 9 patients, the probable ones in 2 children and in 5 cases the cause of the illness was not established. Clinical inflammation was located in different parts of uvea, in 10 children it appeared in one eye and in 6 children in both. The course of illness showed a recurrent character (from 1 to 8 recurrences) in most children. We have established three seasonal occurrences of the disease, mainly in spring and autumn, less at the beginning of summer. After treatment the visual acuity improved in 17 eyes (77.3%), in 3 eyes (13.6%) it did not change and in 2 eyes (9.1%) got worse.
Conclusions:
The chronic, recurrent uveitis in children has a seasonal character (three times a year). The rheumatic disease is the main cause of multiple recurrences of uveitis in children. The early diagnosis of illness and careful medical supervision until the children are 16-18 years old may improve the final results of treatment.
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