Patterns of uveitis in children presenting at a tertiary eye care centre in south India

Kannan M Narayana1, Archana Bora, Jyotirmay Biswas

  • 1Medical and Vision Research Foundation, Sankara Nethralaya, Chennai, India.

Insights

Pediatric uveitis, affecting children 15 and under, presents equally across anterior, intermediate, and posterior forms. Early detection and evaluation are crucial for managing this eye condition in children.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Immunology

Background:

  • Uveitis in children is a significant cause of vision loss.
  • Understanding the epidemiological patterns of pediatric uveitis is essential for timely diagnosis and management.

Purpose of the Study:

  • To investigate the demographic and clinical characteristics of uveitis in the pediatric population.
  • To analyze the anatomical distribution and etiological factors of childhood uveitis at a South Indian referral center.

Main Methods:

  • A retrospective study of 31 pediatric patients (≤15 years) diagnosed with uveitis in 2000.
  • Classification based on anatomical site (anterior, intermediate, posterior, panuveitis) and probable etiology.
  • Diagnosis confirmed through clinical examination and laboratory investigations.

Main Results:

  • Pediatric uveitis accounted for 6.29% of all uveitis cases.
  • Anterior, intermediate, and posterior uveitis occurred with equal frequency (9 cases each).
  • Secondary cataract was observed in approximately 25% of patients; immunosuppressives and cataract surgery were required in a small subset.

Conclusions:

  • Pediatric uveitis exhibits a balanced distribution across anatomical types.
  • Clinical evaluation, including examination under anesthesia (EUA) when necessary, is recommended to rule out intermediate uveitis in anterior uveitis cases.
Abstract

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