Clinical features of paediatric uveitis at a tertiary referral centre in São Paulo, SP, Brazil

Souto, Fernanda Maria Silveira; Giampietro, Barbara; Takiuti, Júlia T.; Campos, Lúcia Maria Arruda; Hirata, Carlos Eduardo; Yamamoto, Jiro

doi:10.1136/bjophthalmol-2018-312313

Cited by 18 publications

(18 citation statements)

References 25 publications

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“…The mean age was between 10.185 ± 4.36 years (range = 2–18 years) which was similar to previous reports. 2 , 4 , 7 , 8 There was a male preponderance in our study, 55.4% males and 44.6% females found same as in Indian studies 7 , 9 compared to developed countries where there were a greater number of females. 2 , 8 , 10 …”

Section: Discussionsupporting

confidence: 79%

“… 2 , 4 , 7 , 8 There was a male preponderance in our study, 55.4% males and 44.6% females found same as in Indian studies 7 , 9 compared to developed countries where there were a greater number of females. 2 , 8 , 10 …”

Section: Discussionsupporting

confidence: 79%

“…Other studies outside India also reported toxoplasmosis as the most common infectious etiology. Dajee and colleagues (5%), 4 Souto and colleagues (7.7%), 8 and Kump and colleagues 10 reported no case of tuberculosis and Rosenberg and colleagues 11 reported only 1 case. In our study, tuberculous etiology was seen in only 2 children (3.07%): 1 child with intermediate uveitis and 1 panuveitis; this is different from other Indian studies by Ganesh and colleagues 7 who reported it in 7.4% and Gautam and colleagues 9 in 14.91% of their cases.…”

Section: Discussionmentioning

confidence: 99%

“…The most common complication was cataract (21.74%), followed by cystoid macular edema (15.22%) and glaucoma in (13.04%); these findings are in line with previous studies. 4 , 8 , 10 , 11 …”

Section: Discussionmentioning

confidence: 99%

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Pediatric uveitis: a retrospective analysis at a tertiary eye care hospital in South India

et al. 2021

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Purpose: To analyze the demographics, etiology, complications, treatment modalities, and visual outcomes in pediatric uveitis patients at a tertiary eye care hospital. Methods: A retrospective review of medical records of pediatric uveitis patients who presented with us from January 2014 to January 2020 was evaluated. Results: Out of the 178 pediatric uveitis patients, 65 children were included in the study. The most common age group was 6–10 years (46%). Of the included patients, 36 (55.4%) were male and 29 (44.6%) were female. Presentation was bilateral in 39 (60%) and unilateral in 26 (40%). Anterior uveitis was seen in 19 (29.23%), intermediate in 18 (27.69%), posterior in 16 (24.62%), and panuveitis in 12 (18.46%) patients. There were 2 cases of masquerades. Non-infectious uveitis was the most commonly seen, in 48 (73.84%) of total cases, among which 21 (43.75%) were idiopathic and 7 (14.58%) were associated with juvenile idiopathic (JIA) arthritis. Infectious uveitis was present in 17 (26.15%); the most common etiology was toxoplasmosis. Baseline visual acuity was low in 22 (33.84%) children. After initiating treatment, 37 (56.92%) showed improvement in vision and 10 (15.38%) had worsening of vision. Intraocular pressure (IOP) rise was seen in 5 (7.69%) children; 51 (78.46%) children required medical management and 16 (24.61%) children required surgical intervention; 46 (70.76%) children had uveitis related complications out of which most of them 30 (65.21%) were present at baseline. Conclusions: Anterior and intermediate uveitis were the most common types observed in our study. Toxoplasmosis was the most common type of infectious uveitis and JIA the most common cause in non-infectious type apart from idiopathic uveitis. Posterior uveitis had low visual acuity at baseline and follow-up. Children presented to us with poor visual acuity and complications at baseline, hence an early referral to a tertiary eye hospital and management accordingly can improve the quality of vision and visual rehabilitation.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

“…The most common complication was cataract (21.74%), followed by cystoid macular edema (15.22%) and glaucoma in (13.04%); these findings are in line with previous studies. 4 , 8 , 10 , 11 …”

Section: Discussionmentioning

confidence: 99%

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Pediatric uveitis: a retrospective analysis at a tertiary eye care hospital in South India

et al. 2021

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“…74,75 The laboratory diagnosis of human ocular toxocariasis represents a greater challenge than the diagnosis of the visceral form because the levels of serum antibodies in the host are usually low and sometimes undetectable. 76,77 Imaging modalities such as ultrasonography or optical coherence tomography should be useful additions to the clinical examination of patients suspected to have ocular toxocariasis. 78,79 However, if ocular toxocariasis is suspected, despite the risks, an assessment of specimens of the aqueous or vitreous humor is recommended.…”

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confidence: 99%