Pediatric recommendations for the management of non-infectious uveitis in Costa Rica

Authors

  • Gabriela Ivankovich Escoto Caja Costarricense de Seguro Social, Hospital Nacional de Niños ""Dr. Carlos Sáenz Herrera""
  • Joaquín Martínez Caja Costarricense de Seguro Social, Hospital Nacional de Niños ""Dr. Carlos Sáenz Herrera""
  • Dora Matus Obregón Caja Costarricense de Seguro Social, Hospital Nacional de Niños ""Dr. Carlos Sáenz Herrera""
  • Olga Arguedas Arguedas Caja Costarricense de Seguro Social, Hospital Nacional de Niños ""Dr. Carlos Sáenz Herrera""

DOI:

https://doi.org/10.51481/amc.v62i3.1077

Keywords:

noninfectious uveitis, juvenile idiopathic arthritis, ocular inflammation, autoimmunity, pediatric uveitis

Abstract

Importance: Idiopathic uveitis and that associated with juvenile idiopathic arthritis are ocular conditions that lead to visual impairment. In Costa Rica, the incidence in pediatric population is unknown; although there is a specialized clinic at the National Children's Hospital for the management of these pathologies, there are no guidelines or recommendations published in our country.

Aims: to summarize the current management recommendations for non-infectious uveitis and offer a guide adapted to the Costa Rican reality, specifically for the pediatric population.

Methods: A non-systematic review of indexed medical literature on PubMed and Scielo platforms was carried out on the diagnosis and management of non-infectious uveitis aimed to pediatric patients and in juvenile idiopathic arthritis. The recommended guidelines in Europe were reviewed and adjusted to what is done at the Uveitis Clinic of the National Children's Hospital.

Conclusions: A management proposal is made that includes a timely ophthalmological evaluation, accurate diagnosis; early and aggressive treatment to prevent complications and minimize sequelae.

Downloads

Download data is not yet available.

References

Foster CS, Kothari S, Anesi SD, Vitale AT, Chu D, Metzinger JL, et al. The Ocular Immunology and Uveitis Foundation (OIUF) Preferred Practice Patterns of Uveitis Management. Survey of Ophthalmology. 2015;8:1-46.

Tsirouki T, Dastiridou A, Symeonidis C, Tounakaki O, Brazitikou I, Kalogeropoulos C, et al. A Focus on the Epidemiology of Uveitis. Ocular Immunology and Inflammation. 2017;96:1-15.

Séve P, Cacoub P, Bodaghi B, Trad S, Sellam J, Bellocq D, et al. Uveitis: Diagnostic work-up. A literature review and recommendations from an expert committee. Autoimmunity Reviews. 2017;16:1254-64.

Takkar B, Venkatesh P, Gaur N, Garg SP, Vohra R, Ghose S. Patterns of uveitis in children at the apex institute for eye care in India: analysis and review of literature. International Ophthalmology. 2017;50:1-8.

Zygmunt A, Lipińska J, Biernacka-Zielińska M, Lipiec E, Niwald A, Smolewska E. Comparison of uveitis in the course of juvenile idiopathic arthritis with isolated uveitis in children - own experiences. Reumatologia. 2018;56:149-54.

Lee JH, Mi H, Lim R, Ho SL, Lim WK, Teoh SC, et al. Ocular Autoimmune Systemic Inflammatory Infectious Study - Report 3: Posterior and Panuveitis. Ocular Immunology and Inflammation. 2017;00(00):1-10.

BenEzra D. Uveitis in children and adolescents. Br J Ophthalmol. 2005;89:444-8.

Smith JA, Mackensen F, Sen HN, Leigh JF, Watkins AS, Pyatetsky D, et al. Epidemiology and Course of Disease in Childhood Uveitis. Ophthalmology. 2009;116:1544-1551.

Yasumura J, Yashiro M, Okamoto N, Shabana K, Umebayashi H, Iwata N, et al. Clinical features and characteristics of uveitis associated with juvenile idiopathic arthritis in Japan: first report of the pediatric rheumatology association of Japan. Pediatric Rheumatology. 2019;17:1-10.

Ferrara M, Eggenschwiler L, Stephenson A, Montieth A, Nakhoul N, Arau?jo-Miranda R, et al. The Challenge of Pediatric Uveitis: Tertiary Referral Center Experience in the United States. Ocular Immunology and Inflammation. 2018;00(00):1-8.

Osswald D, Rameau AC, Speeg-Schatz C, Terzic J, Sauer A. Profil clinique et épidémiologique des uvéites pédiatriques, évolution des uvéites inflammatoires sous anti-TNF alpha. Journal de Gynecologie Obstetrique et Biologie de la Reproduction. 2018;4:447-52.

Lonngi M, Aguilar MC, Ríos HA, Aristizábal-Duque CH, Rodríguez FJ, de-la-Torre A. Pediatric Uveitis: Experience in Colombia. Ocular Immunology and Inflammation. 2016;24:410-4.

Kahwage PP, Ferriani MPL, Furtado JM, Carvalho LM, Pileggi GS, Gomes FHR, et al. Uveitis in childhood-onset systemic lupus erythematosus patients: a multicenter survey. Clin Rheumatol. Clinical Rheumatology. 2017;1:1-7.

Couto C, Frick MM, LaMattina K, Schlaen A, Khoury M, Lopez MM, et al. Chronic Anterior Uveitis in Children. Ocular Immunology and Inflammation. 2016;24:392-6.

Arguedas O, Fasth A, Andersson-Gáre B, Porras O. Juvenile chronic arthritis in urban San José, Costa Rica: a 2 year prospective study. J Rheumatol. 1998;25:1844-50.

Arguedas O, Fasth A, Andersson-Gáre B. A prospective population based study on outcome of juvenile chronic arthritis in Costa Rica. J Rheumatol. 2002;29:174-83.

Espinoza-Mora R, Chan-Cheng H, Dorado-Quesada C, León-Bratti M, León-Bratti. Casos clínicos de uveítis del Hospital México, 2010-2013. Acta Médica Costarricense. 2016;58:74-80.

Ivankovich-Escoto G, Quirós-González G, Martínez-Arguedas J. Patterns of Non-Infectious Uveitis at the National Children s Hospital, Costa Rica. Abstracts, 20th PANLAR Meeting: Buenos Aires, April 2018. Journal of Clinical Rheumatology. 2018;24:S125.

Jabs DA, Nussenblatt RB, Rosenbaum JT, The 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;140:509-16.

León-Céspedes C, Espinoza-Mora MR, Antillón-Flores F, Bolaños-Araya N, Chan-Chen H, Mena-González H et al. Recomendaciones médicas para uveítis no infecciosas en adultos. Acta Médica Costarricense. 2020;62 (1):26-37.

Sood AB, Angeles-Han ST. An Update on Treatment of Pediatric Chronic Non-infectious Uveitis. Current Treatment Options in Rheumatology. 2017;3:1-16.

Simonini G, Cantarini L, Bresci C, Lorusso M, Galeazzi M, Cimaz R. Current therapeutic approaches to autoimmune chronic uveitis in children. Autoimmunity Reviews. 2010;9:674-83.

Berker N, Sen E, Elgin U, Atilgan CU, Dursun E, Yilmazbas P. Analysis of clinical features and visual outcomes of pars planitis. International Ophthalmology. 2017;1:1-10.

Wentworth BA, Freitas-Neto CA, Foster CS. Management of pediatric uveitis. F1000Prime Rep. 2014;6:41.

Anglade E, Yatscoff R, Foster R, Grau U. Next-generation calcineurin inhibitors for ophthalmic indications. Expert Opinion on Investigational Drugs. 2007;16:1525-40.

Kopplin LJ, Mount G, Suhler EB. Review for Disease of the Year: Epidemiology of HLA-B27 Associated Ocular Disorders. Ocular Immunology and Inflammation. 2016;24:470-5.

Grumet P, Kodjikian L, de Parisot A, Errera M-H, Sedira N, Heron E, et al. Contribution of diagnostic tests for the etiological assessment of uveitis, data from the ULISSE study (Uveitis: Clinical and medicoeconomic evaluation of a standardized strategy of the etiological diagnosis). Autoimmunity Reviews. 2018;17:331-43.

Gupta A, Ramanan AV. Uveitis in Children: Diagnosis and Management. Indian J Pediatr. 2015;83:71-7.

Rathinam SR, Babu M. Algorithmic approach in the diagnosis of uveitis. Indian J Ophthalmol. 2013;61:255-24.

Chen S-C, Sheu S-J. Recent advances in managing and understanding uveitis. F1000Res. 2017;6:280-9.

Bou R, Adán A, Borrás F, Bravo B, Calvo I, De Inocencio J, et al. Clinical management algorithm of uveitis associated with juvenile idiopathic arthritis: interdisciplinary panel consensus. Rheumatol Int. 2015;35:777-85.

Gregory AC, Kempen JH, Daniel E, Kaçmaz RO, Foster CS, Jabs DA, et al. Risk Factors for Loss of Visual Acuity among Patients with Uveitis Associated with Juvenile Idiopathic Arthritis: The Systemic Immunosuppressive Therapy for Eye Diseases Study. Ophthalmology. 2013;120:186-92

Published

2020-09-03

How to Cite

Pediatric recommendations for the management of non-infectious uveitis in Costa Rica. (2020). Acta Médica Costarricense , 62(3), 130-139. https://doi.org/10.51481/amc.v62i3.1077