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Uveitis in children: Epidemiological, clinical and prognostic characteristics

C Rodier-Bonifas1, E Rochet2, P Seve3

  • 1Ophtalmologie rive gauche, department of ophthalmology, Clinique rive gauche, Toulouse 31076, France.

Journal Francais D'Ophtalmologie
|January 15, 2023
PubMed

Insights

Pediatric uveitis, particularly linked to juvenile idiopathic arthritis, often leads to complications. Early monitoring and treatment are crucial for preventing vision impairment in children.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Rheumatology

Background:

  • Pediatric uveitis is a significant cause of ocular morbidity in children.
  • Understanding its characteristics and prognostic factors is essential for effective management.

Purpose of the Study:

  • To describe the clinical characteristics of pediatric uveitis.
  • To identify prognostic factors influencing outcomes in pediatric uveitis patients.

Main Methods:

  • Retrospective study of pediatric uveitis cases over a 7-year period.
  • Inclusion of 141 eyes from 86 children.
  • Analysis of uveitis forms, etiologies, treatments, and complications.

Main Results:

  • Anterior and intermediate uveitis were most common, with idiopathic, juvenile idiopathic arthritis, and pars planitis as leading causes.
  • Complications, including cataracts and intraocular hypertension, affected 67.0% of patients.
  • Band keratopathy, cataract, or glaucoma independently predicted poorer visual outcomes.

Conclusions:

  • Juvenile idiopathic arthritis is a frequent and severe form of pediatric uveitis.
  • Prompt monitoring and intervention can mitigate sight-threatening complications.
Abstract

Keywords:
ChildrenEpidemiologyEpidémiologieFrancePrognosisPronosticPédiatrieUveitisUvéite

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