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Published on: January 12, 2019
Clinical Profile of Scleritis in Children
Parthopratim Dutta Majumder1, Sowkath Ali1, Amala George1
1a Department of Uvea , Sankara Nethralaya , Chennai , India.
Insights
This study reveals that scleritis in children, particularly posterior scleritis, presents differently than in adults. Tuberculosis was the primary systemic association found in pediatric cases.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Rheumatology
Background:
- Scleritis is a rare but serious inflammatory eye condition.
- Understanding its clinical patterns in children is crucial for timely diagnosis and management.
Purpose of the Study:
- To characterize the clinical presentation of scleritis in pediatric patients (≤16 years).
- To identify common subtypes and systemic associations of childhood scleritis.
Main Methods:
- Retrospective analysis of medical records from 20 children (24 eyes) with scleritis.
- Data collected included demographics, visual acuity, scleritis subtype, laboratory results, and treatment.
Main Results:
- Mean age at presentation was 12.2 years; 80% of cases were unilateral.
- Posterior scleritis (41.7%) was most common, followed by nodular anterior scleritis (33.3%).
- Tuberculosis was the sole systemic association, identified in 15% of patients.
Conclusions:
- Pediatric scleritis exhibits distinct clinical features compared to adult populations.
- Early recognition of scleritis subtypes and associated conditions like tuberculosis is vital in children.
Abstract:
Purpose: To describe the clinical pattern of scleritis in patients ≤16 years of age at a tertiary care eye hospital in India. Methods: The medical records of 24 eyes of 20 children with scleritis were included in this retrospective study. Collected data included age, subsets of uveitis, best corrected visual acuities (BCVA), detailed laboratory investigations and treatment. Results: Mean age at presentation was 12.2 ± 2.5 years. Scleritis was unilateral in 80% patients and an equal gender distribution was observed. Posterior scleritis (41.7%) was the most common subtypes of scleritis and nodular scleritis was the most common type of anterior scleritis (33.3%). Necrotizing scleritis was seen in 16.7% eyes. Tuberculosis was the only systemic association and found in three (15%) patients. Conclusions: Clinical profile of scleritis in children can be different from that of adults.
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