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NR 10-12/2006
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Ocena zmian w
narządzie wzroku w przebiegu młodzieńczego idiopatycznego
zapalenia stawów
Evaluation of the ocular
changes in children with juvenile idiopathic arthritis
Ewa Lipiec1, Mirosława Grałek2,
Anna Niwald1
1 Z Kliniki Okulistyki Dziecięcej SP ZOZ
Uniwersyteckiego Szpitala Klinicznego nr 4 Uniwersytetu
Medycznego w Łodzi
p.o. Kierownik: dr n. med. Anna Niwald
2 Z Kliniki Okulistyki Instytutu – Centrum Zdrowia
Dziecka w Warszawie
Kierownik: prof. dr hab. n. med. Mirosława Grałek |
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| Summary: |
Purpose: To analyse
the frequency of uveitis and other ocular changes in
children with juvenile idiopathic arthritis.
Material and methods: We carried out
ophthalmologic examination in children and adolescents
with juvenile idiopathic arthritis, in age between 3 and
20 years. During the examination we evaluated vision
acuity, refraction, anterior and posterior part of the
eye and intraocular pressure.
Results: A total of 48 (68%) girls and 22 (32%)
boys participated in our study, whose mean age was 13.2
years (SD =3.8). The most frequent onset of juvenile
idiopathic arthritis was oligoarticular form of the
disease (62%). Only in 42% of the studied group there
were no significant abnormalities of the ocular system.
Anterior uveitis was diagnosed in 5 patients (7%)
including 4 (5.7%) girls and 1 (1.4%) boy. Complications
appeared in 2 children in the form of cataract and band
keratopathy which both resulted in considerable
impairment of visual acuity. Mean duration of juvenile
idiopathic arthritis before the onset of uveitis was 5.2
years. There were other ocular changes in the studied
group, among which the most common were: conjunctivitis
– 24%, abnormalities of the retina – 11%, glaucoma – 4%
and other changes.
Conclusions: In majority of the children with
juvenile chronic arthritis different abnormalities of
the eyes were diagnosed. All the patients with juvenile
idiopathic arthritis should be under close surveillance
of the ophthalmologist, irrespective of the disease
duration |
| Słowa kluczowe: |
młodzieńcze idiopatyczne
zapalenie stawów, zapalenie przedniego odcinka błony
naczyniowej, zmiany okulistyczne. |
| Key words: |
juvenile idiopathic
arthritis, anterior uveitis, ocular complications. |
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