Taiwan ocular inflammation society consensus recommendations for the management of juvenile idiopathic arthritis-associated uveitis

Autor: Wei-Dar Chen, Cheng-Hsiu Wu, Po-Yi Wu, Chang-Ping Lin, Liang-Shiou Ou, De-Kuang Hwang, Shwu-Jiuan Sheu, Wei-Yu Chiang, Yo-Chen Chang, Chun-Ju Lin, Wei-Chun Chan, Yueh-Fu Fang, Jerry Chien-Chieh Huang, Tzu-En Kao, Fang-Yi Chiu, Ning-Yi Hsia, Yih-Shiou Hwang
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of the Formosan Medical Association, Vol 123, Iss 12, Pp 1218-1227 (2024)
Druh dokumentu: article
ISSN: 0929-6646
DOI: 10.1016/j.jfma.2024.02.010
Popis: We presented the development of a consensus guideline for managing juvenile idiopathic arthritis-associated uveitis (JIAU) in Taiwan, considering regional differences in manifestation and epidemiology. The Taiwan Ocular Inflammation Society (TOIS) committee formulated this guideline using a modified Delphi approach with two panel meetings. Recommendations were based on a comprehensive evidence-based literature review and expert clinical experiences, and were graded according to the Oxford Centre for Evidence-Based Medicine's “Levels of Evidence” guideline (March 2009). The TOIS consensus guideline consists of 10 recommendations in four categories: screening and diagnosis, treatment, complications, and monitoring, covering a total of 27 items. These recommendations received over 75% agreement from the panelists. Early diagnosis and a coordinated referral system between ophthalmologists and pediatric rheumatologists are crucial to prevent irreversible visual impairment in children with JIAU. However, achieving a balance between disease activity and medication use remains a key challenge in JIAU management, necessitating further clinical studies.
Databáze: Directory of Open Access Journals