Prevention and Management of Cataracts in Children with Juvenile Idiopathic Arthritis-Associated Uveitis

被引:23
作者
Angeles-Han, Sheila [1 ]
Yeh, Steven [2 ]
机构
[1] Emory Univ, Div Pediat Rheumatol, Sch Med, Atlanta, GA 30307 USA
[2] Emory Univ, Sch Med, Sect Vitreoretinal Surg, Dept Ophthalmol, Atlanta, GA 30322 USA
关键词
Juvenile idiopathic arthritis; Uveitis; Cataracts; Treatment; Prevention; Management; Glaucoma; Synechiae; Band keratopathy; Visual acuity; Visual impairment; Corticosteroids; Surgery; Intraocular lens; TERM-FOLLOW-UP; RHEUMATOID-ARTHRITIS; RISK-FACTORS; OCULAR COMPLICATIONS; VISUAL OUTCOMES; OPHTHALMOLOGIC EXAMINATIONS; CHRONIC IRIDOCYCLITIS; CHILDHOOD UVEITIS; ANTERIOR UVEITIS; HLA ANTIGENS;
D O I
10.1007/s11926-011-0229-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Juvenile idiopathic arthritis (JIA)-associated uveitis can be associated with vision-compromising complications such as cataracts, glaucoma, synechiae, and band keratopathy. Of these, cataracts are one of the most common sequelae of JIA-associated uveitis and can result in significant visual disability. Risk factors for cataracts include posterior synechiae and long-standing ocular inflammation. Prevention of cataract development is crucial through appropriate control of uveitis. However, not all preventive measures are successful, and further management consisting of medical and surgical techniques is often necessary. Various factors should be taken into consideration when deciding on cataract management, including timing of surgery and placement of an intraocular lens. Continued partnership between pediatric rheumatologists and pediatric ophthalmologists can help ensure favorable visual outcomes.
引用
收藏
页码:142 / 149
页数:8
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