
Uveit at JIA. Aproudis I, Clin Ophthalmol (2010). CC Openi
Juvenile Arthritis (JIA), Childhood Arthritis and eye complications
Contents
Uveitt (Arthritis)
Uveitis are the most common complication from the eyes by childhood arthritis
- Uveitis in children is caused by child joints (JIA) in over half of the cases
- Chronic anterior, non-granulomatous uveitis is the most common
- Girls 4 times more often than boys
Symptoms
Little symptoms in children; vision loss without notice
- Occurs before joint inflammation (arthritis) at 6-7%
- Between joints and uveitis intervals are 2 years at 50%
- No correlation between disease activity in the joint disease and the eye disease
Diagnosis
Regular ophthalmologist examination, even without symptoms
- ANA (antinuclear antibody in blood samples) available in 75%
Treatment
Optometrist
- Eye drops
- Other anticancer drugs
Prognosis
- Untreated: Both eyes are attacked for up to 70%
- Risk of blindness in one or both eyes
- Worst prognosis:
- Low age at debut
- Oligoarticular arthritis / arthritis (four or fewer joints)
- ANA (antinuclear factors)
Follow-up
- Recommended regular ophthalmological controls
- Each 3. month for those who are most exposed
Chronic idiopathic iridocyclitis in children (almost only girls) also occurs without the presence of arthritis (juvenile chronic iridocyclitis). ANA is present in 30%.
Recommendations
Norwegian Rheumatological Association
Literature
- Rodriguex-GArzia A, 2015
- Abu Samara K, 2016
- The eye of rheumatic diseases is generally described here (Vaskulitt.no)
More information via the National Center for Children and Youth with Rheumatic Disease (NAKBUR)
Children with rheumatic disease, BINDEVEVSSYKDOMMER.no
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