4.3 Article

Childhood Chronic Idiopathic Uveitis in a Multicentre International Cohort

Journal

OCULAR IMMUNOLOGY AND INFLAMMATION
Volume -, Issue -, Pages -

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/09273948.2023.2169715

Keywords

Children; idiopathic; measures of outcome; uveitis

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This study reports the demographic, clinical characteristics, and outcomes of children with idiopathic non-infectious uveitis (iNIU) in a multicentric retrospective study. The results show that the majority of patients have a significant improvement in vision at 3 years, but 1 in 6 had impaired vision or blindness in their worse eye.
ImportanceIdiopathic uveitis makes up around 50% of non-infectious uveitis but the clinical characteristics in children are poorly understood.ObjectiveTo report the demographic, clinical characteristics, and outcomes of children with idiopathic non-infectious uveitis (iNIU) in a multicentric retrospective study. ResultsThere were 126 (61 female) children with iNIU. The median age at diagnosis was 9.3 years (3-16 years) . Uveitis was bilateral in 106 patients and anterior in 68.At onset,impaired visual acuity and blindness in the worse eye were reported, in 24.4% and 15.1% patients but at 3 years of follow-up, there was a significant improvement in visual acuity (mean 0.11 SD +/- 0.50 vs 0.42 SD +/- 0.59 p < .001).Conclusions and relevanceThere is a high rate of visual impairment at presentation in children with idiopathic uveitis. The majority of patients have a significant improvement in vision, but 1 in 6 had impaired vision or blindness in their worse eye at 3 years.

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