Abstract
BACKGROUND
Uveitis associated with juvenile rheumatoid arthritis (JRA) is an important cause of visual impairment in children. Because uveitis is often asymptomatic in this age group, frequent ophthalmologic screening examinations are recommended. Recent reports have found a decrease in the prevalence and severity of uveitis in JRA when compared to older data.
METHODS
The charts of 52 consecutive patients with JRA seen over a 30-month period were retrospectively reviewed.
RESULTS
Eye examination identified uveitis in five (12%) patients. All patients with uveitis were female, ANA positive, and had pauciarticular-onset arthritis. Three patients had the onset of uveitis before the age of 2. All patients have maintained good visual acuity and have not developed serious sight-threatening ocular complications over the follow-up period.
CONCLUSIONS
Although the prevalence and severity of JRA-associated uveitis may be decreasing, we strongly recommend continued strict adherence to the current screening guidelines.
TY - JOUR
T1 - Screening for uveitis in juvenile rheumatoid arthritis.
AU - Boone,M I,
AU - Moore,T L,
AU - Cruz,O A,
PY - 1998/3/21/pubmed
PY - 1998/3/21/medline
PY - 1998/3/21/entrez
SP - 41
EP - 3
JF - Journal of pediatric ophthalmology and strabismus
JO - J Pediatr Ophthalmol Strabismus
VL - 35
IS - 1
N2 - BACKGROUND: Uveitis associated with juvenile rheumatoid arthritis (JRA) is an important cause of visual impairment in children. Because uveitis is often asymptomatic in this age group, frequent ophthalmologic screening examinations are recommended. Recent reports have found a decrease in the prevalence and severity of uveitis in JRA when compared to older data. METHODS: The charts of 52 consecutive patients with JRA seen over a 30-month period were retrospectively reviewed. RESULTS: Eye examination identified uveitis in five (12%) patients. All patients with uveitis were female, ANA positive, and had pauciarticular-onset arthritis. Three patients had the onset of uveitis before the age of 2. All patients have maintained good visual acuity and have not developed serious sight-threatening ocular complications over the follow-up period. CONCLUSIONS: Although the prevalence and severity of JRA-associated uveitis may be decreasing, we strongly recommend continued strict adherence to the current screening guidelines.
SN - 0191-3913
UR - https://www.unboundmedicine.com/medline/citation/9503315/Screening_for_uveitis_in_juvenile_rheumatoid_arthritis_
L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=9503315.ui
DB - PRIME
DP - Unbound Medicine
ER -