Bilateral Uveitis In A Child

Uveitis u vee i tis warning signs often come on suddenly and get worse quickly.

Bilateral uveitis in a child. Uveitis is a form of eye inflammation. Therefore the diagnosis of uveitis is often delayed in children because it goes unrecognised or misdiagnosed. Uveitis is the third leading cause of blindness in america and 5 to 10 of the cases occur in children under the age of 16. Most patients with uveitis are worked up for sarcoidosis syphilis and tuberculosis.

But uveitis in children blinds a larger percentage of those affected than in adults since 40 of the cases occurring in children are posterior uveitis compared to the 20 of posterior uveitic cases in the adult uveitis population. 2 uveitis prevalence is lower in children seen in about 30 cases per 100 000 compared to 93 per 100 000 in adults. 3 in reports from tertiary uveitis referral centers pediatric cases account for 5 to 30 of all uveitis. 1 children with uveitis comprised 2 2 to 10 6 of the total number of uveitis patients examined and followed in specialised adult clinics.

Most cases of intermediate and diffuse uveitis are bilateral chronic and idiopathic. 2 6 it is interesting that the same authors within the same organisation reported a large variability in the prevalence of uveitis in children when the studies were carried out during different periods. Uveitis in children and adolescents uveitis is an inflammation of the inner parts of the eye. Panuveitis is diagnosed if the anterior chamber and vitreous are also inflamed.

They include eye redness pain and blurred vision. It could have no known cause idiopathic type or could happen as a result of injury inflammation infection or autoimmune problems. The most common causes of vision loss in children with uveitis are cataract band keratopathy glaucoma and cystoid macular edema. Untreated disease could cause blindness.

1 uveitis accounts for 5 to 20 of blindness in the united states and europe and up to 25 of blindness in the developing world. Gaucher s disease as an underlying cause for uveitis is a rare association reported earlier. 35 the presenting symptom in one of the two children included in this study was bilateral uveitis and spontaneous hyphaema in one eye. 4 despite a lower incidence of uveitis in children compared to.

The underlying gaucher s disease was unveiled during the systemic evaluation of the child because of the unusual ocular presentation. What they have in common is eye inflammation and swelling that can destroy eye tissues. The condition can affect one or both eyes and it can affect people of all ages even children. That destruction can lead to poor vision or blindness.

Intraocular inflammation affecting the uvea uveitis occurring in childhood has been reported at a much lower incidence than in adults. In adults the most common presentation of uveitis is an acutely painful red eye while in children it is chronic bilateral persistent uveitis and can be completely asymptomatic. Uveitis is a broad term for many problems with your eye.