Free previewYou're reading the free part of this topic. The rest is included with Clinical.See what's included
Pediatric uveitis
Pediatric Ophthalmology
Key Points
- •JIA-associated uveitis is the most common pediatric uveitis - characteristically asymptomatic, chronic, bilateral anterior uveitis ("white quiet eye") - detected only by slit lamp screening at scheduled intervals
- •ANA-positive oligoarticular JIA with onset <7 years carries the highest uveitis risk (20–30%) and requires slit lamp examination every 3 months
- •Amblyopia is the most preventable cause of visual loss in pediatric uveitis - media opacities (band keratopathy, cataract) and anisometropia must be identified and treated aggressively
- •Etanercept is ineffective for JIA-associated uveitis despite controlling joint disease - use adalimumab (approved for non-infectious pediatric uveitis per SYCAMORE trial)
- •Toxocara is the most common infectious cause of unilateral posterior uveitis in young children - critically must be differentiated from retinoblastoma
- •Band keratopathy is pathognomonic of chronic JIA anterior uveitis - treat with EDTA chelation
Free preview ends here
Keep reading Pediatric uveitis
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations