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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.
Purpose:
To study the patterns of uveitis in the paediatric age group in a referral eye care centre in south India.
Materials And Methods:
Thirty-one patients 15 years or younger with uveitis, examined in the year 2000, were included in this study. The uveitis was classified according to the anatomical site of ocular involvement and the most probable aetiological factor. The final diagnosis was based on clinical manifestations and results of specific laboratory investigations.
Results:
A total 31 (6.29%) paediatric uveitis cases were seen among the 493 uveitic cases in the year 2000. The male:female ratio was 17:14. Anterior (9 cases), intermediate (9 cases) and posterior uveitis (9 cases) were seen in equal number. Four patients had panuveitis. Twenty-seven patients had visual acuity of 6/36 or better at presentation. Approximately 25% (8 of 31) patients had cataract secondary to inflammation. Immunosuppressives were administered in 4 patients and one patient required cataract surgery.
Conclusion:
Uveitis in children comprises approximately 6% of uveitis cases in a referral practice in south India. Anterior, intermediate and posterior uveitis are seen in equal numbers. We recommend that intermediate uveitis be ruled out in all cases of anterior uveitis by careful clinical evaluation including examination under anesthesia (EUA) when required.
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