Unilateral Posterior Uveitis in a Young Suspected Juvenile Idiopathic Arthritic Male
Asian Journal of Research and Reports in Ophthalmology,
A 15 y/M was referred from Paediatrics department to rule out uveitis in a suspected case of Juvenile idiopathic arthritis(JIA). He had no ocular complaints. There was history of left eye amblyopia since childhood and usage of thick glasses since 10 years. There was no history of ocular trauma, procedure or any systemic illness. Best corrected visual acuity(BCVA) was 6/9 in RE and 6/24 in LE recorded using Snellen’s chart, color vision and Amslers grid test were within normal limits in both eyes. On examination, anterior segment was within normal limits. Posterior segment showed myopic changes in both eyes with mild vitreous degeneration in right eye and vitreous debris, inflammatory debris in the inferotemporal quadrant, perivascular sheathing and snowbanking in superotemporal and inferior quadrant in left eye with no active macular edema. Systemic workup was done and the patient was started on oral steroids and immunosuppressant. JIA-associated uveitis rarely presents with complaints, a high index of suspicion is indicated in these cases due to poor prognosis and high rate of complications.
- posterior uveitis
How to Cite
Kotaniemi K, Savolainen A, Karma A, Aho K. Recent advances in uveitis of juvenile idiopathic arthritis. Surv Ophthalmol. 2003;48:489–502.
Sabri K, Saurenmann RK, Silverman ED, Levin AV. Course, complications and outcome of juvenile arthritis-related uveitis. J AAPOS. 2008;12(6):539-45.
Prakken B, Albani S, Martini A. Juvenile idiopathic arthritis. Lancet. 2011;377:2138–2149.
Ayuso KV, Cate HAT, van der Does P, Rothova A, de Boer JH. Male gender as a risk factor for complications in uveitis associated with juvenile idiopathic arthritis. American Journal of Ophthalmology. 2010;149(6):994.e5–999.e5. [PubMed] [Google Scholar]
Hoeve M, Ayuso VK, Schalij-Delfos NE, Los LI, Rothova A, de Boer JH. The clinical course of juvenile idiopathic arthritis-associated uveitis in childhood and puberty. British Journal of Ophthalmology. 2012;96(6):852–856. [PubMed] [Google Scholar]
Vitale AT, Graham E, de Boer JH. Juvenile idiopathic arthritis-associated uveitis: clinical features and complications, risk factors for severe course, and visual outcome. Ocul Immunol Inflamm. 2013;21(6):478-85. DOI: 10.3109/09273948.2013.815785. Epub 2013 Aug 19. PMID: 23957455.
Clarke SLN, Sen ES, Ramanan AV. Juvenile idiopathic arthritis-associated uveitis. Pediatr Rheumatol. 2016;14: 27. Available:https://doi.org/10.1186/s12969-016-0088-2
Marelli L, Romano M, Pontikaki I, Gattinara MV, Nucci P, Cimaz R, Miserocchi E. Long term experience in patients with JIA-associated uveitis in a large referral center. Front. Pediatr. 2021;9:682327. DOI: 10.3389/fped.2021.682327
Sudharshan SDO, Biswas Jyotirmay MS, Ganesh Sudha K, DO Analysis of juvenile idiopathic arthritis associated uveitis in India over the last 16 years, Indian Journal of Ophthalmology: 2005;55(3):199-202. DOI: 10.4103/0301-4738.31940
Yu H-H, Chen P-C, Wang L-C, Lee J-H, Lin Y-T, Yang Y-H, et al. juvenile idiopathic arthritis-associated uveitis: A nationwide population-based study in Taiwan. PLoS ONE. 2013;8(8):e70625. Available:https://doi.org/10.1371/journal.pone.0070625
Foeldvari I, Wierk A. Methotrexate is an effective treatment for chronic uveitis associated with juvenile idiopathic arthritis. J Rheumatol. 2005;32:362-365.
Veronika Rypdal, Mia Glerup, Nils Thomas Songstad, Geir Bertelsen, Terje Christoffersen, Ellen Arnstad et al. Uveitis in juvenile idiopathic arthritis:18-year outcome in the population-based nordic cohort study. AAO Ophthalmology. 2021;128(4). ISSN 0161-6420/20. Available:https://doi.org/10.1016/j.ophtha.2020.08.024
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