Litcius/Paper detail

The Pattern of Uveitis in a Pediatric Population at a Tertiary Center in Thailand

Usanee Seepongphun, Wantanee Sittivarakul, Wantanee Dangboon, Rassamee Chotipanvithayakul

2021Ocular Immunology and Inflammation15 citationsDOI

Abstract

Purpose To describe the clinical characteristics and longitudinal pattern of visual acuity (VA) of pediatric patients with uveitis at a tertiary center in Thailand.Methods We retrospectively reviewed the records of children with uveitis ≤16 years who presented to the clinic between January 2010 and June 2020.Results The mean age at onset was 9.1(±4.3) years; the main characteristics were chronic (64.4%), unilateral (68.6%), and panuveitis (39%). The common etiologies were ocular toxoplasmosis (11.9%), herpetic uveitis (10.2%), and ocular toxocariasis (6.8%). Further, 40% of the eyes presented with VA of ≤20/200; mean VA at baseline improved from 0.93 to 0.72 logMAR at 3 months after presentation (P < .001), the baseline VA of ≤20/200 was significantly associated with poor VA outcome at 1 year.Conclusion Chronic, unilateral, and panuveitis represented the majority of our children with uveitis. Infectious etiology was common. Significant VA improvement can be achieved with optimum management.

Topics & Concepts

MedicineUveitisEtiologyIntermediate uveitisToxoplasmosisPediatricsOphthalmologyVisual acuityPresentation (obstetrics)SurgeryAnterior uveitisInternal medicinePathologyOcular Diseases and Behçet’s SyndromeToxoplasma gondii Research StudiesRetinal Diseases and Treatments