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To describe and analyze the demographics, Clinical characteristics, etiology, and visual outcomes of pediatric uveitis cases attending the outpatient clinic of Ophthalmology department, Assiut University Hospital.
Uveitis is a form of eye inflammation that affects the middle layer of tissue in the eye wall (uvea).
It is the third leading cause of blindness worldwide .Uveitis is more common in adults; however, children comprise 2.2% to 21.6% of patients in various studies.Despite a lower incidence of uveitis in children, the rate of visual loss may be worse than that of adults . The onset of uveitis in children is often insidious and is only discovered during routine screening.The lack of significant symptoms and delayed presentation to an ophthalmologist leads to morbidity and a decrease in visual acuity . The length of time between the diagnosis of uveitis and the referral to a tertiary eye center is strongly correlated with the complications rate and degree of visual impairment.
Uveitis is classified according to the International Uveitis Study Group criteria based on the anatomical location of the inflammation and is categorized as anterior, intermediate, Posterior or panuveitis. It is also described based on clinical onset, duration and course.
Some uveitis syndromes are unique to children, such as juvenile idiopathic arthritis (JIA), Kawasaki syndrome, Familial Juvenile Systemic Granulomatosis and Tubulointerstitial Nephritis-Uveitis syndrome. Other conditions are more prevalent in the pediatric population due to environmental factors such as trematode induced uveitis.
Due to the lack of epidemiological studies on the demographic and Clinical Characteristics of pediatric uveitis in Upper Egypt. This study aims to improve diagnosis, management, and treatment strategies tailored to the population.
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| Measure | Description | Time Frame |
|---|---|---|
| Distribution of uveitis subtypes. | Baseline | |
| Differences by age, gender, or ethnicity. | Baseline | |
| Prevalence of systemic associations. | Baseline | |
| Prevalence of Visual outcomes. | Baseline | |
| Prevalence of complications rate. | Baseline |
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Inclusion Criteria:
Exclusion Criteria:
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pediatric patients
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hasnaa Salah Ebrahim Abo Elyuon, master | Contact | +201090793398 | Hassnaa.16266153@med.aun.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Mohamed Sharaf El Din Abd El Rahim, professor | Assiut University | Study Director |
| Mohmed Gamal Ahmed Saleh, Assistant Professor | Assiut University | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | American Academy of Ophthalmology meeting (Uveitis and Ocular Inflammation section), October 25, 2004; New Orleans, Louisiana | ||
| 27555706 | Background | Rahimi M, Oustad M, Ashrafi A. Demographic and Clinical Features of Pediatric Uveitis at a Tertiary Referral Center in Iran. Middle East Afr J Ophthalmol. 2016 Jul-Sep;23(3):237-40. doi: 10.4103/0974-9233.186096. | |
| 29682916 |
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| Eslam Mohamed Mohamed Goda, Lecturer |
| Assiut University |
| Study Director |
| Background |
| Chan NS, Choi J, Cheung CMG. Pediatric Uveitis. Asia Pac J Ophthalmol (Phila). 2018 May-Jun;7(3):192-199. doi: 10.22608/APO.2018116. Epub 2018 Apr 23. |
| 11262655 | Background | Cunningham ET Jr. Uveitis in children. Ocul Immunol Inflamm. 2000 Dec;8(4):251-61. doi: 10.1076/ocii.8.4.251.6459. |
| 15582090 | Background | Rosenberg KD, Feuer WJ, Davis JL. Ocular complications of pediatric uveitis. Ophthalmology. 2004 Dec;111(12):2299-306. doi: 10.1016/j.ophtha.2004.06.014. |
| 12719076 | Background | Edelsten C, Reddy MA, Stanford MR, Graham EM. Visual loss associated with pediatric uveitis in english primary and referral centers. Am J Ophthalmol. 2003 May;135(5):676-80. doi: 10.1016/s0002-9394(02)02148-7. |
| 15498056 | Background | Azar D, Martin F. Paediatric uveitis: a Sydney clinic experience. Clin Exp Ophthalmol. 2004 Oct;32(5):468-71. doi: 10.1111/j.1442-9071.2004.00864.x. |
| 15921752 | Background | Kump LI, Cervantes-Castaneda RA, Androudi SN, Foster CS. Analysis of pediatric uveitis cases at a tertiary referral center. Ophthalmology. 2005 Jul;112(7):1287-92. doi: 10.1016/j.ophtha.2005.01.044. |
| 11344713 | Background | Benezra D, Cohen E, Maftzir G. Patterns of intraocular inflammation in children. Bull Soc Belge Ophtalmol. 2001;(279):35-8. |
| Result | .Nussenblatt RB, Whitcup SM. Uveitis: Fundamentals and Clinical Practice, 4th edition. Mosby, 2010 |
| 16196117 | Result | Jabs DA, Nussenblatt RB, Rosenbaum JT; Standardization of Uveitis Nomenclature (SUN) Working Group. Standardization of uveitis nomenclature for reporting clinical data. Results of the First International Workshop. Am J Ophthalmol. 2005 Sep;140(3):509-16. doi: 10.1016/j.ajo.2005.03.057. |