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Current Treatment Modalities of Jia-Associated Uveitis and Its Complications: Literature Review Publisher Pubmed



Abu Samra K1, 2 ; Maghsoudlou A1, 2, 3, 4 ; Roohipoor R1, 2, 5, 6, 7 ; Valdesnavarro M1, 2 ; Lee S1, 2 ; Foster CS1, 2, 4, 7
Authors
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Authors Affiliations
  1. 1. Massachusetts Eye Research and Surgery Institution (MERSI), Waltham, MA, United States
  2. 2. Ocular Immunology and Uveitis Foundation (OIUF), Waltham, MA, United States
  3. 3. Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania School of Medicine, Philadelphia, PA, United States
  4. 4. Harvard Medical School, Cambridge, MA, United States
  5. 5. Department of Ophthalmology, Farabi Eye Hospital, Tehran, Iran
  6. 6. Eye Research Centre, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Massachusetts Eye and Ear Infirmary, Cambridge, MA, United States

Source: Ocular Immunology and Inflammation Published:2016


Abstract

Uveitis is a common and serious complication of juvenile idiopathic arthritis. Up to 75% of all cases of anterior uveitis in childhood are associated with juvenile idiopathic arthritis. Despite the remarkable progress in early detection and treatment of inflammation, vision-threatening complications of uveitis still occur in almost 60% of patients. Structural complications include band keratopathy, maculopathy (macular edema, macular cysts, and epiretinal membrane), glaucomatous optic neuropathy, and cataracts. The management of complications in juvenile idiopathic arthritis is usually complex and requires early surgical intervention. In this paper, we review the general concepts of common ocular complications seen in patients with JIA-associated uveitis, with special attention to the recent diagnostic and preferred treatment approaches at the Massachusetts Eye Research and Surgery Institution. Received 9 March 2015; revised 30 September 2015; accepted 30 October 2015; published online 14 January 2016 © Taylor & Francis Group, LLC.