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Pediatric Uveitis: Experience in Colombia
Marcela Lonngi1,2, María Camila Aguilar1,2, Hernán Andrés Ríos1,2
1a Investigación Fundación Oftalmológica Nacional, Fundación Oftalmológica Nacional , Department of Ophthalmology , Bogotá , Colombia.
Insights
Pediatric uveitis in Colombia is primarily caused by infections like toxoplasmosis, often presenting as posterior uveitis with insidious onset and chronic course. This study highlights the need for increased awareness and public health strategies for childhood visual health.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Infectious Diseases
Background:
- Uveitis in children presents unique challenges in diagnosis and management.
- Understanding the specific epidemiological and clinical characteristics of pediatric uveitis is crucial for effective treatment strategies.
- Limited data exists on pediatric uveitis in Latin America, particularly in Colombia.
Purpose of the Study:
- To characterize the clinical presentation of pediatric uveitis.
- To identify the primary causes and patterns of uveitis in children.
- To establish baseline data for pediatric uveitis in Colombia.
Main Methods:
- Retrospective review of clinical records of pediatric patients diagnosed with uveitis.
- Data collected from two ophthalmology centers in Bogotá, Colombia.
- Analysis of demographic, clinical, etiological, and visual acuity data.
Main Results:
- 310 children were included; 51.9% were female, with a mean age of 10.1 years.
- Posterior uveitis was most common (58.7%), characterized by insidious onset (87.4%) and chronic course (78.1%).
- Infectious etiology (58.4%) predominated, with toxoplasmosis (76.8%) being the leading cause. Visual acuity was significantly poorer in posterior uveitis compared to anterior and intermediate forms (p<0.05).
Conclusions:
- This study provides the first comprehensive report on pediatric uveitis in Colombia.
- Infectious etiologies, particularly toxoplasmosis, are the leading causes of pediatric uveitis in this region.
- Findings can enhance awareness, guide clinical practice, and inform public health policies for pediatric visual health in developing countries.
Purpose:
To describe the clinical features of uveitis in children treated at two ophthalmologic centers in Bogotá, Colombia, in a 13 year-period.
Methods:
Retrospective observational clinical record review of pediatric children with diagnosis of uveitis.
Results:
In total, 310 children were evaluated, 51.9% were female, mean age of 10.1 years. Posterior uveitis was the most common location (58.7%), of insidious onset (87.4%) and chronic course (78.1%). The most common etiology was infection (58.4%) caused by toxoplasmosis (76.8%). There was a statistically significant difference in visual acuity between anterior (20/68) and intermediate uveitis (20/70), compared with posterior uveitis (20/434) (p<0.05).
Conclusions:
This is the first study to report the clinical features of pediatric uveitis in Colombia, where infectious etiologies are the leading cause. It will improve awareness and knowledge of pediatric uveitis in developing countries, and contribute to the development of public health policies of pediatric visual health. Received 12 September 2015; revised 23 February 2016; accepted 25 February 2016; published online 18 May 2016.
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