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COMPARISON OF PEDIATRIC PATIENTS WITH PARS PLANITIS WHO UNDERWENT TREATMENT VERSUS OBSERVATION AT A TERTIARY REFERRAL

Julia L Xia1, Jenny Shunyakova1, Kate M Hwang2

  • 1Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado.

Retina (Philadelphia, Pa.)
|January 22, 2026
PubMed

Insights

Not all pediatric pars planitis (PP) patients need treatment. Mild cases can be observed without complications, reducing medication side effects and burden.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology

Background:

  • Pars planitis (PP) is an inflammatory condition affecting the pediatric eye.
  • Treatment decisions for pediatric PP are often based on clinical presentation and severity.

Purpose of the Study:

  • To compare pediatric patients with pars planitis (PP) who received treatment versus those observed without treatment.
  • To identify characteristics of mild pediatric PP cases suitable for observation.

Main Methods:

  • Retrospective chart review of pediatric patients diagnosed with pars planitis (PP) between 2000 and 2024.
  • Analysis of clinical characteristics, fluorescein angiography (FA) scores, and treatment outcomes.

Main Results:

  • Out of 158 eyes, 127 (80.4%) were treated and 31 (19.6%) observed.
  • Observed eyes had significantly less inflammation (anterior chamber cell, vitreous cell, haze, optic nerve edema) and lower FA scores.
  • The treated group had higher rates of ocular hypertension and glaucoma; no untreated eyes developed complications requiring surgery. Final visual acuity was similar.

Conclusions:

  • Pediatric pars planitis (PP) does not always require treatment.
  • Mild cases can be safely observed, avoiding treatment-related side effects and medication burden.
  • Identifying suitable candidates for observation can optimize patient care and reduce complications.
Abstract

Keywords:
intermediate uveitispars planitispediatrictreatment

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