Long-term visual acuity outcome of pediatric uveitis patients presenting with severe visual impairment

Usanee Tungsattayathitthan1, Narisa Rattanalert1, Wantanee Sittivarakul2

  • 1Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, 90110, Songkhla, Thailand.

Scientific Reports
|February 22, 2023
PubMed

Insights

Children with severe visual impairment from uveitis often have poor long-term vision outcomes. Early diagnosis and treatment are crucial for better visual acuity (VA) in pediatric uveitis cases.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Immunology

Background:

  • Uveitis in children can lead to severe visual impairment (SVI).
  • Long-term visual acuity (VA) outcomes for pediatric uveitis with SVI at presentation are not well-established.
  • Understanding predictive factors for VA outcomes is crucial for management.

Purpose of the Study:

  • To investigate the long-term visual acuity (VA) outcome in children with uveitis and severe visual impairment (SVI) at presentation.
  • To identify factors associated with VA improvement or decline over time.

Main Methods:

  • Retrospective review of 57 eyes of 51 children (≤16 years) with uveitis and SVI (VA ≤ 20/200) managed between 2010-2020.
  • Analysis of clinical data, including uveitis type, diagnosis, complications, and VA measurements at presentation and follow-up.
  • Statistical analysis to identify predictive factors for VA outcomes.

Main Results:

  • The mean logMAR VA improved from 1.8 at presentation to 1.2 at 5 years (P < 0.001).
  • Ocular complications were present in 93% of eyes at presentation.
  • Factors predicting poorer VA outcome included preschool age of onset, delayed diagnosis (≥1 month symptom duration), and non-anterior uveitis.

Conclusions:

  • Long-term visual acuity outcomes for pediatric uveitis with SVI at presentation are generally unfavorable.
  • Younger age at onset, delayed presentation, and posterior segment involvement are associated with poorer visual outcomes.
  • Aggressive management and early intervention are critical for improving visual prognosis in pediatric uveitis.

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