Pediatric uveitis : a report of 38 cases

Abstract

Introduction: Uveitis in children are rare. Their insidious character involves visual prognosis and can lead to blindness. We aimed to describe the epidemiological, clinical, therapeutic and evolutionary features of uveitis in children. Methods: This was a retrospective study made of 38 patients (43 eyes) diagnosed with uveitis. Results: Thirty eight patients (43 eyes) were included. The mean age at presentation was 12.58± 3.046 years. Uveitis was bilateral in 13% of cases. Posterior uveitis (40%) and panuveitis (30%) were the most common anatomic types. We found a majority of toxoplasmic and idiopathic uveitis respectively in 25% and 18% of cases. Systemic corticosteroids were administered in 32 patients. The rate of recurrence was highest in Behçet's disease and Vogt Koyanagi Harada disease. The final visual acuity was greater than 5/10 in 54%. Legal blindness was noted in 9% of the eyes. Conclusion: The diagnosis of uveitis in children represents a real etiological, diagnostic and therapeutic challenge.