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Chapter-72 Management of Uveitis in Children

BOOK TITLE: Surgical Techniques in Ophthalmology (Pediatric Ophthalmic Surgery)

Author
1. Trivedi Rupal H
2. Wilson M Edward
ISBN
9789350251485
DOI
10.5005/jp/books/11282_72
Edition
1/e
Publishing Year
2011
Pages
2
Author Affiliations
1. MUSC Storm Eye, Institute, 167, Ashley Avenue, Charleston, USA, MUSC Storm Eye Institute, 167, Ashley Avenue, Charleston, USA, Storm Eye Institute, Medical University of South Carolina, USA, Medical University of South Carolina, Charleston, SC, USA, Storm Eye Institute, Medical University of South Carolina, 167, Ashley Avenue, Charleston SC, USA, India, MUSC - Storm Eye Institute, 167 Ashley Ave, Charleston, SC 29425, USA, MUSC Storm Eye Institute, 167, Ashley Avenue, Charleston SC, USA, MUSC Strom Eye Institute, 167, Ashley Avenue, Charleston, SC-29425-5536 (USA), MUSC Strom Eye Institute, 167, Ashley Avenue, Charleston, SC-29425-5536, USA
2. N Edgar Miles Center; Storm Eye Institute Medical University of South Carolina Charleston, South Carolina, USA, Miles Center for Pediatric, Ophthalmology, Charleston, USA, N Edgar Miles Center for Pediatric Ophthalmology, Strom Eye Institute, Medical University of South Carolina, Charleston, SC, USA, Storm Eye Institute, Charleston SC, USA, Miles Center for Pediatric Ophthalmology, Charleston, USA, Storm Eye Institute, Medical University of South Carolina Charleston, USA, Storm Eye Institute, Miles Center for Pediatric Ophthalmology, Medical University of South Carolina, Charleston, SC 29425, USA, Director Albert Florens Storm Eye Institute Medical University of South Carolina Charleston, SC, USA, Albert Florens Storm Eye Institute, Medical University of South Carolina, Charleston, SC, USA 29425, Medical University of South Carolina, Charleston, SC, USA, Albert Florens Storm Eye, Institute, Medical University of South Carolina, 167, Ashley Avenue, Chairleston, USA, MUSC Storm Eye, Institute, 167, Ashley Avenu
Chapter keywords

Abstract

The incidence of uveitis in children has been reported to be less than that of adults. For childhood uveitis, there are different forms anterior uveitis, posterior uveitis, intermediate uveitis and panuveitis. Common causes of childhood uveitis are juvenile idiopathic arthritis, toxoplasmosis, toxocariasis, sarcoidosis, Vogt-Koyanagi-Harada syndrome, acute retinal necrosis, Reiter’s syndrome, Lupus, and Fuchs heterochromiciridocyclitis. Children with uveitis may not present until late stage. Patients may present complaining of dimness of vision sensitivity to light or glare, redness, pain, photophobia, floaters. The cornea should be examined for keratic precipitates (KP) (stellate vs. mutton fat), endothelial pigment dispersion, or stromal changes.Investigations should be customized to the suspected etiology. Differential diagnosis varies greatly based on the etiology of the uveitis. A detailed evaluation can help identify the etiology. The goal of treatment is to reduce the intraocular inflammation, relieve pain, prevent vision loss and treat the cause of uveitis if known. Steroids are the first step in the treatment. Surgery is required to treat the complications of severe or chronic inflammation. Early detection and treatment of uveitis is essential for preservation of normal vision In general, late onset and delayed treatment are associated with poor prognosis in uveitis cases and ocular anatomy.

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