Division of Pediatric Rheumatology, Emory University School of Medicine, Atlanta, GA 30307, USA.
Curr Rheumatol Rep. 2012 Apr;14(2):142-9. doi: 10.1007/s11926-011-0229-z.
Juvenile idiopathic arthritis (JIA)-associated uveitis can be associated with vision-compromising complications such as cataracts, glaucoma, synechiae, and band keratopathy. Of these, cataracts are one of the most common sequelae of JIA-associated uveitis and can result in significant visual disability. Risk factors for cataracts include posterior synechiae and longstanding ocular inflammation. Prevention of cataract development is crucial through appropriate control of uveitis. However, not all preventive measures are successful, and further management consisting of medical and surgical techniques is often necessary. Various factors should be taken into consideration when deciding on cataract management, including timing of surgery and placement of an intraocular lens. Continued partnership between pediatric rheumatologists and pediatric ophthalmologists can help ensure favorable visual outcomes.
幼年特发性关节炎（JIA）相关性葡萄膜炎可引起影响视力的并发症，如白内障、青光眼、虹膜粘连和带状角膜病变。其中，白内障是 JIA 相关性葡萄膜炎最常见的后遗症之一，可导致严重的视力障碍。白内障的危险因素包括后粘连和长期眼内炎症。通过适当控制葡萄膜炎，可以预防白内障的发生，这一点至关重要。然而，并非所有预防措施都有效，通常需要进一步的医疗和手术治疗。在决定白内障治疗方案时，应考虑多种因素，包括手术时机和人工晶状体的放置。儿科风湿病医生和儿科眼科医生之间的持续合作可以帮助确保获得良好的视力结果。
