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Pars planitis in children: epidemiologic, clinical, and therapeutic characteristics
Ricardo Romero1, Jesus Peralta, Elena Sendagorta
1Department of Pediatric Ophthalmology, Hospital Universitario La Paz, Madrid, Spain.
Insights
Pars planitis, an inflammatory eye condition, affects children, often bilaterally. While complications like cataracts can occur, most cases show good prognosis with appropriate treatment.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Uveitis
Background:
- Pars planitis is a form of intermediate uveitis affecting children.
- Understanding its demographics and clinical course is crucial for effective management.
Purpose of the Study:
- To detail the demographics, clinical features, treatment, and prognosis of pediatric pars planitis.
- To analyze the long-term outcomes of affected children.
Main Methods:
- Retrospective, descriptive, and longitudinal study.
- Reviewed medical records of 16 children (30 eyes) diagnosed between 1995-2005.
- Analyzed demographic data, clinical findings, treatments, and visual acuity.
Main Results:
- Pars planitis was bilateral in 87.5% and more common in males.
- Common findings included snowballs (96.7%) and vitritis (93.3%).
- Cataract formation (36.7%) was the most frequent complication; visual acuity improved significantly post-treatment.
Conclusions:
- Pars planitis in children typically presents with specific ocular findings.
- With appropriate medical and surgical interventions, the prognosis for pediatric pars planitis is generally favorable.
Purpose:
To report the demographics and clinical characteristics, therapy logarithm, and prognosis of children with pars planitis.
Patients And Methods:
The medical records were reviewed of all patients diagnosed with pars planitis between June 1995 and December 2005 in the Department of Pediatric Ophthalmology at Hospital Universitario La Paz, Madrid, Spain. A retrospective, descriptive, and longitudinal study of 30 eyes in 16 children was performed.
Results:
Pars planitis was bilateral in 87.5% and more frequent in males (68.8%). Average age at onset was 9.2 years. The main ophthalmologic findings recorded were snowballs (96.7%) and vitritis (93.3%). Cataract formation was the most prevalent complication (36.7%). Mean initial and final best-corrected visual acuities were 0.640 and 0.840, respectively. Periocular corticosteroids were used in 33.3% of cases and cryotherapy or laser photocoagulation in 16.7%. Complications requiring surgical management occurred in 4 eyes (13.3%).
Conclusion:
Pars planitis treated with adequate medical and surgical procedures has a good prognosis in most cases.
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