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A 10-year review of pediatric uveitis at a Hispanic-dominated tertiary pediatric ophthalmic clinic

Authors Dajee K, Rossen J, Bratton M, Whitson J, He Y

Received 14 September 2015

Accepted for publication 31 December 2015

Published 22 August 2016 Volume 2016:10 Pages 1607—1612


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Kruti P Dajee,1,2 Jennifer Landau Rossen,1 Monica L Bratton,1,2 Jess T Whitson,1 Yu-Guang He1,2

1Department of Ophthalmology, UT Southwestern Medical Center, 2Department of Ophthalmology, Children’s Medical Center of Dallas, Dallas, TX, USA

The aim of this study was to evaluate the characteristics and outcomes of pediatric uveitis cases at a large tertiary referral center in Dallas, TX, USA.
Materials and methods: The authors performed a retrospective chart review between 2001 and 2011 to identify children with uveitis.
Results: A total of 46 children (68 eyes) with uveitis were identified. Sixty-seven percent were Hispanic, and the mean age was 9.2 years. The majority of cases were idiopathic (74%). Anterior uveitis accounted for 42% of cases followed by intermediate uveitis/pars planitis (33%), posterior uveitis/retinitis (7%), and panuveitis (20%). Most patients were treated with cortico­steroids (98% topical), 52% with systemic immunosuppression therapy, and 30% with surgery. Complications occurred in 74% of patients, with the most common complication being cataract development (26%), followed by posterior synechiae (24%). Twenty-four percent of patients had recurrences. Hispanic patients had worse visual acuities at presentation (P-value =0.073) and follow-up (P-value =0.057), compared to non-Hispanic patients.
Conclusion: Pediatric uveitis cases seen in a large center in Dallas were largely idiopathic, had commonly developed complications, and were associated with worse visual outcomes in Hispanic patients.

Keywords: pediatric ophthalmology, uveitis, outcomes, Dallas, Hispanic

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