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Ocular Complications of Pediatric Inflammatory Bowel Disease: A Case Series From a Pediatric Tertiary Medical Center

Pejman Rohani1, Fatemeh Abdollah Gorji1,2, Mohammad Eshaghi1

  • 1Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Clinical Pediatrics
|February 14, 2022
PubMed

Insights

Ocular manifestations are common in children with inflammatory bowel disease (IBD). Annual eye screenings are recommended for pediatric IBD patients to detect these sight-threatening complications early.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Gastroenterology

Background:

  • Ocular extraintestinal manifestations (O-EIMs) are a significant concern in pediatric inflammatory bowel disease (IBD).
  • This study investigated the prevalence of O-EIMs in children diagnosed with IBD.
  • Data was collected from Mofid Children's Hospital, Tehran, Iran, between 2014 and 2019.

Observation:

  • The study included 96 pediatric patients under 18 years old with IBD who were referred for ophthalmological examination.
  • Four patients exhibited ocular manifestations directly related to IBD.
  • Two patients experienced ocular complications secondary to IBD treatment.

Findings:

  • Anterior uveitis was the most frequent O-EIM, observed in 3 (50.0%) patients.
  • Episcleritis occurred in 1 (16.7%) patient.
  • Posterior subcapsular cataract was diagnosed in 2 (33.3%) patients.

Implications:

  • O-EIMs represent a critical aspect of managing pediatric IBD.
  • Routine annual ophthalmological screening is crucial for early detection and management of ocular complications in children with IBD.
  • Proactive screening can help prevent vision impairment in this vulnerable population.

Keywords:
Crohn’s diseaseIBDchildrenocular complicationulcerative colitis

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