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Published on: December 17, 2021
Epidemiology of uveitis in children over a 10-year period
Lydia A L Clarke1, Yan Guex-Crosier, Michael Hofer
1Department of Pediatrics, Lausanne University Hospital, Lausanne, Switzerland. lydiaclarke87@gmail.com
Insights
Paediatric uveitis, a serious eye condition in children, requires prompt diagnosis and management. This study highlights key demographics, causes, and outcomes, emphasizing collaborative care for better visual prognoses.
Area of Science:
- Ophthalmology
- Paediatric Rheumatology
- Immunology
Background:
- Paediatric uveitis presents unique challenges in diagnosis and management.
- Understanding the specific epidemiological and clinical characteristics is crucial for effective treatment strategies.
Purpose of the Study:
- To investigate the demographics, aetiologies, complications, treatments, and visual outcomes of paediatric uveitis in French-speaking Switzerland.
- To provide insights into the management and prognosis of childhood uveitis.
Main Methods:
- Retrospective chart review of paediatric uveitis patients (<16 years) from 2000-2009.
- Inclusion of patients from two tertiary referral centres in Lausanne, Switzerland.
Main Results:
- Seventy-nine children were analyzed, with idiopathic uveitis, JIA-related uveitis, and toxoplasmic retinochoroiditis being the most common diagnoses.
- Visual acuity was ≥8/10 in 72% of eyes; common complications included cataract and glaucoma.
- Systemic steroids and biological agents were utilized in 56% and 24% of inflammatory cases, respectively.
Conclusions:
- Childhood uveitis can lead to severe visual impairment.
- Accurate classification of causes and close collaboration between paediatric rheumatologists and ophthalmologists are vital for controlling inflammation and improving long-term visual outcomes.
Objectives:
The aim of the present study is to investigate the demographics, aetiologies, complications, treatments and visual outcomes in paediatric uveitis patients in the French-speaking part of Switzerland.
Methods:
Chart review of all patients diagnosed with uveitis before the age of 16 years, presenting to two tertiary referral centres (uveitis and paediatric rheumatology clinics) in Lausanne, Switzerland, between 2000 and 2009.
Results:
Seventy-nine children (37 girls) were identified, 62 living in Switzerland, 15 in Europe and 2 in North Africa. Median age at first symptoms was 9.0 years (range 1.5-15.8 years), with a median follow-up time of 1.8 years (0-8 years). Both eyes were involved in 51 patients (64.6%). The course was acute in 30.4%, chronic in 60.8% and recurrent in 8.9%. Anterior uveitis occurred in 39.2%, intermediate in 32.9%, posterior in 22.8% and panuveitis in 5.1%. The three main diagnoses were idiopathic uveitis (34.2%), JIA-related uveitis (22.8%) and toxoplasmic retinochoroiditis (15.2%). During the last follow-up visit, the visual acuity (VA) was ≥8/10 in 72% of all eyes with a measurable VA. Cataract (8%), ocular hypertension/glaucoma (8%) and macular fibrosis (4%) were the three most common severe complications. Systemic steroids were given to 56% and biological agents to 24% of patients with inflammatory uveitis.
Conclusions:
Uveitis in children can be a devastating disease. A strict classification of aetiologies and a tight collaboration between paediatric rheumatologists and ophthalmologists are important to ensure early control of ocular inflammation and improve long-term visual prognosis.
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