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Br J Ophthalmol 2009;93:569-572 doi:10.1136/bjo.2008.148015
  • Global issues

Uveitis survey in children

  1. I H Hamade1,
  2. H N Al Shamsi2,
  3. H Al Dhibi2,
  4. C Bou Chacra1,
  5. A M Abu El-Asrar3,
  6. K F Tabbara1,4
  1. 1
    The Eye Center and the Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia
  2. 2
    King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
  3. 3
    Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
  4. 4
    The Wilmer Ophthalmological Institute of The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  1. Dr K F Tabbara, The Eye Center, 241 Makkah, Road, PO Box 55307, Riyadh 11534, Saudi Arabia; k.tabbara{at}nesma.net.sa
  • Accepted 3 December 2008
  • Published Online First 15 December 2008

Abstract

Background/aims: This is a retrospective cohort uveitis survey to determine the clinical features of uveitis in children and assess the rate of complications at two referral centres in Saudi Arabia.

Methods: All children under the age of 16 years presenting with uveitis for the first time between 1997 and 2007 to The Eye Center and King Khaled Eye Specialist Hospital in Riyadh, Saudi Arabia were included. Clinical features of uveitis entities were described. Last follow-up visual acuity and ocular complications were analysed.

Results: A total of 163 cases of uveitis in children were included. The age range was 1–16 years with a mean age of 10 years. The most frequent clinical type of uveitis in children included acute anterior non-granulomatous uveitis 26%, intermediate uveitis 20%, Vogt–Koyanagi–Harada (VKH) disease 16% and juvenile idiopathic arthritis (JIA) 15%. Anterior uveitis accounted for 42%, intermediate for 20%, posterior for 7%, and panuveitis for 31%. Immune-mediated uveitis was present in 144 (88%) patients, while infectious causes manifested in 19 (12%) patients.

Conclusions: The most common cause of uveitis in children was anterior non-granulomatous uveitis of undetermined aetiology. There was a high prevalence of intermediate uveitis, VKH and JIA. Infectious causes of uveitis were uncommon.

Footnotes

  • Competing interests: None.

  • Funding: This study was supported in part by a Fund from The Eye Foundation for Research in Ophthalmology, The Eye Center, Riyadh, Saudi Arabia, and the King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

  • Ethics approval: Ethics approval was provided by The Eye Center and King Khaled Eye Specialist Hospital in Riyadh, Saudi Arabia.

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