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Letter to the Editor
Steroid responsive disc neovascularisation in uveitis associated with juvenile chronic arthritis
  1. TREVOR GRAY
  1. Moorfields Eye Hospital, City Road, London
  2. Prince Charles Eye Unit, King Edward VII Hospital, Windsor
  3. Moorfields Eye Hospital, City Road, London EC1V 2PD
  1. JACK KANSKI
  1. Moorfields Eye Hospital, City Road, London
  2. Prince Charles Eye Unit, King Edward VII Hospital, Windsor
  3. Moorfields Eye Hospital, City Road, London EC1V 2PD
  1. SUSAN LIGHTMAN
  1. Moorfields Eye Hospital, City Road, London
  2. Prince Charles Eye Unit, King Edward VII Hospital, Windsor
  3. Moorfields Eye Hospital, City Road, London EC1V 2PD
  1. Professor Susan Lightman.

https://doi.org/10.1136/bjo.82.3.326b

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    Editor,—Childhood uveitis is most frequently associated with juvenile chronic arthritis (JCA).1 The uveitis associated with JCA is anterior with no posterior involvement, although cystoid macular oedema may occur after cataract surgery. We describe disc neovascularisation (NVD) in two children with JCA associated chronic anterior uveitis. The possible aetiology of this and subsequent management are presented.

    CASE REPORTS

    Case 1

    Left NVD was diagnosed in a white 13 year old girl with a 3 year history of bilateral anterior uveitis associated with pauciarticular onset JCA. There were no clinical or laboratory features to suggest any other disease process and she was completely asymptomatic apart from the involved joint. At presentation and throughout follow up she had a mild right anterior uveitis and moderate left anterior uveitis despite the constant use of topical steroids. No other form of immunomodulation had …

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