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Pediatric Uveitis in a Referral Center in North Part of Turkey
Hilal Eser-Ozturk1, Yuksel Sullu1
1Department of Ophthalmology, Ondokuz Mayis University, Samsun, Turkey.
Insights
Pediatric uveitis most commonly affects the anterior segment, with juvenile idiopathic arthritis (JIA) as a frequent cause. Early treatment leads to satisfactory visual outcomes in most children with uveitis.
Area of Science:
- Ophthalmology
- Pediatrics
- Immunology
Background:
- Uveitis in children presents unique diagnostic and management challenges.
- Understanding demographic and clinical patterns is crucial for effective pediatric eye care.
Purpose of the Study:
- To analyze demographic characteristics of pediatric uveitis patients.
- To investigate clinical features, ocular complications, and visual outcomes.
- To identify common causes and anatomical locations of pediatric uveitis.
Main Methods:
- Retrospective analysis of medical records.
- Inclusion of 156 eyes from 93 pediatric patients.
- Data collection on age, gender, follow-up duration, uveitis type, systemic associations, complications, and visual acuity.
Main Results:
- Anterior uveitis was the most common type (49.5%).
- Juvenile idiopathic arthritis (JIA) was the leading systemic disease (18.3%).
- Ocular complications were present in 34.0% of eyes at presentation, with 87.2% achieving good visual acuity (<0.3 LogMAR) by final examination.
Conclusions:
- Anterior segment involvement and JIA are the most frequent findings in pediatric uveitis.
- Prompt and appropriate treatment can lead to favorable visual prognoses in pediatric uveitis cases.
Abstract:
Purpose: To analyze the demographic characteristics, clinical features, ocular complications, and visual outcome of pediatric patients with uveitis.Methods: Retrospective evaluation of medical records.Results: The study included 156 eyes of 93 patients. Fifty-three patients were female and 40 were male. Mean age at onset of the uveitis was 9.54 ± 4.29 years. The mean follow-up period was 29.88 ± 28.97 months. Anterior uveitis (49.5%) was the most common anatomic type followed by panuveitis (21.5%), intermediate uveitis (18.3%), and posterior uveitis (10.7%). Juvenile idiopathic arthritis (JIA) was the most common leading systemic disease (18.3%) followed by Behçet disease (11.8%). It was detected at least one complication in 53 (34.0%) eyes at presentation. Mean LogMAR visual acuity was found <0.3 in 136 (87.2%) eyes at final examination.Conclusion: The most common localization was the anterior segment and the most common etiologic relationship was JIA. Visual outcome could be satisfactory with early and appropriate treatment.
