• PURPOSE: To identify the possible risk factors for the development of cataract requiring surgery in children with juvenile idiopathic arthritis (JIA)-associated uveitis.• DESIGN: Retrospective cohort study.• METHODS: Data of 53 children with JIA-associated uveitis, of whom 27 had undergone cataract extraction (CE), were obtained. The main outcome measure, the interval between the onset of uveitis and the first CE (U-CE interval), was examined in relation to clinical and ophthalmologic characteristics and treatment strategies before CE. 2 The risk of cataract formation in JIA-associated uveitis increases when posterior synechia are present at the initial examination and with treatment with a high dose of systemic corticosteroids. 3 Previously, the visual outcome of cataract surgery in JIA-associated uveitis was poor. Since new surgical techniques have been recommended, the results of cataract extraction (CE) have improved, but surgery in uveitic eyes of children still remains challenging. 4 The aim of our study was to evaluate which factors accelerate the development of cataract requiring surgery in JIA-associated uveitis. Therefore, clinical and ophthalmologic characteristics and the treatment strategies in children with JIA-associated uveitis were investigated in relation to the interval between the diagnosis of uveitis and the first cataract extraction (U-CE interval).
METHODS
WE REVIEWED THE MEDICAL RECORDS OF 53 CHILDRENwith JIA-associated uveitis (n ϭ 51) or antinuclear antibody (ANA)-positive uveitis without arthritis (n ϭ 2) diagnosed before the age of 16 years. These children represent all children with JIA-associated uveitis identified in a complete database search of the FC Donders