Uveitis in kids short messages
Most types of uveitis can be seen in children and are managed in a similar way to adults
Management depending on the anatomic location, severity, threat to vision, and complications present.
Children may get recurrent AAU associated with HLA-B27 and diseases such as ankylosing spondylitis.
Although uncommon, Fuchs’ heterochromic cyclitis has been reported even in young children.
Children may get sympathetic ophthalmia following trauma and disorders such as Vogt-Koyanagi-Harada syndrome.
Infective disorders such as chickenpox can cause a uveitis in kids
Metastatic endophthalmitis can occur from any septic site. ( infective endocarditis or sinusitis)
Reactivation of toxoplasmic retinochoroiditis is uncommon in children
The commonest cause of posterior uveitis below 16 yrs age is pars planitis.
Juvenile idiopathic arthritis is associated with uveitis that may be asymptomatic, so review all children at diagnosis.
In JIA ,the risk of uveitis depends on the type of arthritis (systemic versus polyarticular versus pauciarticular).
Uveitis in systemic disease is rare in kids .
ANA+ve pauciarticular females aged <7 years are at highest.
Review for Uveitis in kids
• high-risk children (those aged <7 years who are ANA+ve, with pauci- or polyarticular arthritis) every 3 months
• medium- risk review every 6 months
• low-risk (systemic disease) review yearly.
• The high- risk group become medium-risk after 4 years follow-up.
• The medium-risk group becomes low-risk after 4 years.
• All go to low- risk after 7 years.
The characteristic chronic anterior uveitis has a high ocular morbidity if not well controlled
• band keratopathy
• posterior synechiae( indicate severe disease)
• cataract
• cyclitic membranes
• CME can occur.
Topical steroids and mydriatics are the mainstay of treatment in children with anterior uveitis.
Kids are high Steroid responders so meticulous F/up for (open angle glaucoma and raised IOP ).
Cataract removal is by lensectomy because of cyclitic membrane formation under umbrella ☔️ of topical and may be systemic steroid for this is helpful.
Chelation for Band keratopathy or PTK can be tried
Uveitis in kids powerpoint presentations :
Uveitis in children – by dr. Marwa Mostafa (MS)
https://www.slideshare.net/hindalshawadify/uveitis-in-children-by-dr-marwa-mostafa-ms
An approach to pediatric uveitis. Uveitis is less common in children than In adults, accounts for fewer than 10% of reported cases of uveitis, but its diagnosis and management can be particularly challenging. Young children are often asymptomatic either because of inability to express complaints or because of the truly asymptomatic nature of their disease. Even in advanced cases, parents may not be aware of severe visual impairment until the development of externally visible changes such as band keratopathy, strabismus, or leukocoria.
Uveitis in kids short messages videos:
Uveitis video
Uveitis in kids short messages
