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Pattern of Pediatric Uveitis Seen at a Tertiary Referral Center from India

Sudha K Ganesh1, Aparna Bala1, J Biswas1

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

Ocular Immunology and Inflammation
|July 15, 2015
PubMed

Insights

Pediatric uveitis often leads to complications like cataracts, frequently requiring surgery. Subspecialty care improved vision in most children with pediatric uveitis.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Uveitis Management

Background:

  • Pediatric uveitis is a significant cause of vision loss in children.
  • Understanding its profile, causes, and outcomes is crucial for effective management.

Purpose of the Study:

  • To analyze the characteristics, etiology, complications, management, and visual outcomes of pediatric uveitis patients in India.
  • To evaluate the impact of tertiary care on pediatric uveitis.

Main Methods:

  • Retrospective cohort study of 190 pediatric uveitis patients (0-18 years) at a tertiary referral center.
  • Data collected from January 2007 to April 2010, adhering to SUN criteria for diagnosis.
  • Evaluation of complications, medical/surgical management, and visual outcomes over a median follow-up of 1.35 years.

Main Results:

  • Anterior uveitis was most common (52%), with infectious causes in 44 patients.
  • Complications, primarily cataracts (40.5%), were frequent, often preceding subspecialty referral.
  • Surgical intervention was performed in 46.9% of cases, with visual acuity improving in 120 children.

Conclusions:

  • Pediatric uveitis frequently presents with complications requiring surgical intervention, particularly for cataracts.
  • Subspecialty management is associated with improved visual outcomes in pediatric uveitis.
  • Early detection and management are vital to prevent vision impairment in children.
Abstract

Keywords:
Complicationetiologymanagementpediatric uveitis

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