关键词: FFA JIA OCT Pediatric uveitis presumed trematode uveitis

来  源:   DOI:10.1080/09273948.2024.2328789

Abstract:
UNASSIGNED: Pediatric uveitis poses unique challenges, characterized by difficulties in performing comprehensive examinations, potential delays in diagnosis, and a heightened risk of ocular complications. This study evaluate the etiologic and clinical characteristics of uveitis in children presenting to the Mansoura Ophthalmic Center, Mansoura, Egypt.
UNASSIGNED: A cross-sectional observational study was undertaken involving children diagnosed with uveitis attending the uveitis outpatient clinic at Mansoura University Ophthalmic Center. Comprehensive clinical evaluations were carried out, including detailed history taking and exhaustive ophthalmological examinations. Whenever deemed necessary, Spectral Domain Optical Coherence Tomography (OCT) and Fluorescein Fundus Angiography (FFA) were utilized to secure retinal images. An extensive systemic evaluation was also conducted to discern the diverse causes of uveitis among the participants.
UNASSIGNED: The cohort comprised 63 children, impacting 97 eyes. Bilateral involvement was seen in 54% of cases, with a male predominance of 58.7%. The predominant etiologies of uveitis were presumed trematode-induced (36.7%), Juvenile Idiopathic Arthritis (JIA) accounting for 28.6%, and in 12.7% of cases, the cause remained undetermined. Anterior uveitis emerged as the primary presentation in 79.4% of cases. Regarding visual loss, cataract was the leading cause at 56.4%, followed by vitritis at 38.4%, and macular edema at 20.5%.
UNASSIGNED: Anterior uveitis was the most frequent presentation in our pediatric cohort. Despite the challenges, the majority of children with uveitis exhibited no significant visual impairment, with most causes of visual loss being reversible.
摘要:
小儿葡萄膜炎带来了独特的挑战,以执行全面考试困难为特征,诊断的潜在延迟,和眼部并发症的风险增加。这项研究评估了向Mansoura眼科中心就诊的儿童葡萄膜炎的病因和临床特征,Mansoura,埃及。
进行了一项横断面观察性研究,研究对象包括在Mansoura大学眼科中心葡萄膜炎门诊就诊的葡萄膜炎患儿。进行了全面的临床评价,包括详细的病史记录和详尽的眼科检查。只要认为有必要,使用谱域光学相干断层扫描(OCT)和荧光素眼底血管造影(FFA)来确保视网膜图像。还进行了广泛的系统评估,以辨别参与者中葡萄膜炎的各种原因。
该队列包括63名儿童,影响97只眼睛。在54%的病例中看到了双边参与,男性占58.7%。葡萄膜炎的主要病因被认为是吸虫引起的(36.7%),幼年特发性关节炎(JIA)占28.6%,在12.7%的病例中,原因尚未确定。在79.4%的病例中,前葡萄膜炎是主要表现。关于视力丧失,白内障占56.4%,其次是玻璃体炎,占38.4%,黄斑水肿占20.5%。
前葡萄膜炎是我们儿科队列中最常见的表现。尽管面临挑战,大多数患有葡萄膜炎的儿童没有明显的视力障碍,视力丧失的大多数原因是可逆的。
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