Management of chronic pediatric uveitis
Autor: | Grace A. Levy-Clarke, Janine A. Smith, Robert B. Nussenblatt |
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Rok vydání: | 2005 |
Předmět: |
medicine.medical_specialty
Adolescent Perioperative management business.industry Pediatric uveitis MEDLINE Infant Arthritis General Medicine Disease medicine.disease Uveitis Ophthalmology Child Preschool Chronic Disease medicine Humans Intermediate uveitis Sarcoidosis Child Intensive care medicine business |
Zdroj: | Current Opinion in Ophthalmology. 16:281-288 |
ISSN: | 1040-8738 |
Popis: | Purpose of review The diagnosis and management of chronic pediatric uveitis can be particularly challenging, with an estimated 25-33% of childhood uveitis cases resulting in severe, life-long visual disability. This paper reviews the recent literature on the management of chronic pediatric uveitis. Recent findings This review highlights recent advances in the diagnosis and medical and surgical management of pediatric uveitis. Several systemic diseases associated with chronic uveitis in children are highlighted, including juvenile idiopathic arthritis, sarcoidosis and Behcet's disease. The treatment of primary ocular diseases associated with chronic pediatric uveitis such as intermediate uveitis and Fuchs' heterochromic iridocyclitis is discussed. The management of infectious causes of pediatric uveitis is not covered in this review. Summary Knowledge of the ocular complications of chronic pediatric uveitis can help to customize efficacious therapeutic regimens for each patient, maximize the visual potential and minimize complications of these diseases. In addition a close relation should be fostered between pediatricians, pediatric rheumatologists and ophthalmologists to effectively monitor these patients who have multiple medical, surgical and refractive needs. Finally, surgical intervention must be appropriately timed with expert perioperative management of immunosuppressive medications with pediatric concerns in mind. |
Databáze: | OpenAIRE |
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