The American Academy of Pediatrics has recently published updated guidelines for ophthalmological examination in children with juvenile rheumatoid arthritis (JIA).¹ UK guidelines are currently under preparation. The American guidelines reiterate the need for rigorous screening to prevent the potentially blinding complications of undiagnosed uveitis, which is often asymptomatic and insidious in onset.² The Paediatric Ophthalmology service in Edinburgh runs a weekly joint clinic with the paediatric rheumatologists in the Sick Children’s Hospital (Edinburgh, UK). …