Article Text

This article has a correction. Please see:

PDF
Maculopathy in uveitis of juvenile idiopathic arthritis: an optical coherence tomography study
  1. G Ducos de Lahitte1,
  2. C Terrada1,
  3. T H C Tran1,
  4. N Cassoux1,
  5. P LeHoang1,
  6. B Bodaghi1,
  7. L Kodjikian2
  1. 1
    Department of Ophthalmology, Pitié-Salpêtrière Hospital, Paris, France
  2. 2
    Department of Ophthalmology, la Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France
  1. Bahram Bodaghi, Department of Ophthalmology, Pitié-Salpêtrière Hospital, 47 bd de l’Hôpital, Paris, France; bahram.bodaghi{at}psl.ap-hop-paris.fr

Abstract

Aim: The aim of this study was to examine the frequency and characteristics of macular lesions observed in juvenile idiopathic arthritis (JIA) uveitis, using optical coherence tomography (OCT).

Methods: In this cross-sectional study, 38 consecutive patients were recruited from a tertiary referral center in uveitis. All eyes with JIA uveitis underwent complete ophthalmic examination including OCT 3. Exclusion criterion was the inability to obtain OCT scans. Flare and visual acuity were also analysed by using linear regression.

Results: We analysed foveal thickness (FT) and central foveal thickness (CFT), using software mapping, to describe macular lesions in 61 eyes. Maculopathy was observed in 51 eyes (84%) compared with 12% in the literature (p<0.0001) and comprised four types: perifoveolar thickening in 45 eyes (74%), macular oedema in 29 eyes (48%), foveal detachment in 11 eyes (18%) and atrophic changes in six eyes (10%). Only four eyes did not demonstrate any lesion.

Conclusions: Among children with JIA uveitis, macular involvement is frequent and characterised by perifoveolar thickening and serous retinal detachment. OCT is a non-invasive instrument. It can easily identify this maculopathy, which could impair visual function, and require therapeutic intensification.

Statistics from Altmetric.com

Footnotes

  • Competing interests: None.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Correction
    BMJ Publishing Group Ltd.BMA House, Tavistock Square, London, WC1H 9JR