Outcome of pediatric uveitis at an university clinic/Bir universite klinigindeki pediatrik uveit olgularinin sonuclari

Purpose: To determine the etiology, clinical course, complications, and outcome of uveitis in pediatric patients. Material and Method: We retrospectively reviewed the medical charts of 64 eyes of 43 patients, who had been followed up at a University clinic. Demographic and etiological features, clinical course, complications, and visual outcome were analyzed. Results: Male/female ratio was 22/21. Median age at the first visit was 14 (3-18) years. Unilateral involvement was observed in 22 (51.16%) patients. Anterior uveitis was the most common form (67.19%). Idiopathic uveitis was seen in 25 (58.14%) patients. The most commonly identified etiological entities were juvenile idiopathic arthritis (JIA) (5 patients) and Behcet's disease (4 patients). Both glaucoma and cataract were the most common complications (12.50%, 6.25%; respectively). Final VA was equal or better than 20/40 in 47 eyes (73.43%). Discussion: Uveitis in pediatric patients was mostly idiopathic. The most commonly identified etiologic entities were JIA and Behcet's disease. Final visual outcome was favorable with appropriate treatment. (Turk J Ophthalmol 2013; 43: 395-401) Key Words: Behcet's disease, juvenile idiopathic arthritis, complications, pediatric uveitis; visual outcome Amac: Pediatrik hastalarda uveitin etiyoloji, klinik seyir, komplikasyon ve sonuclarini incelemek. Gerec ve Yontem: Universitemizde takip edilmis olan 43 hastanin 64 gozune ait dosya kayitlari retrospektif olarak incelendi. Demografik ve etiyolojik ozellikler, klinik seyir, komplikasyonlar ve gorsel sonuclar analiz edildi. Sonuclar: Calismamizda erkek/kiz orani 22/21 idi. Ilk basvuru sirasinda hastalarin ortanca yas degeri 14 (3-18) yil olarak hesaplandi. Hastalarin 22 (%51,16)'sinde unilateral tutulum ile karsilasildi. Anterior uveit en sik gorulen lokalizasyondu (%67,19). Hastalarimizin 25 (%58,14)'inde idiopatik uveit goruldu. En sik tanimlanan etiyolojik sebep ise Juvenil Idiopatik Artrit JIA) (5 hasta) ve Behcet Hastaligi (4 hasta) idi. En sik karsilasilan komplikasyonlarin glokom ve katarakt oldugu goruldu (sirasiyla %12,50, %6,25). Sonuc gorme keskinligi 47 (%73,43) gozde 20/40 ve uzerinde idi. Tartisma: Pediatrik hastalardaki uveit olgulari cogunlukla idiopatiktir. Tanimlanabilen etiyolojik sebeplerden en sik gorulenleri JIA ve Behcet Hastaligi'dir. Uygun tedavi ile sonuc gorme keskinligi tatminkar olabilmektedir. (Turk J Ophthalmol 2013; 43: 395-401) Anahtar Kelimeler: Behcet hastaligi, gorsel sonuc, juvenil