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中国东部一家三级转诊中心的儿童葡萄膜炎:临床模式与视力预后

Pediatric Uveitis in a Tertiary Referral Center in East China: Clinical Patterns and Visual Outcomes.

作者信息

Lei Boya, Zhou Xianjin, Gu Ruiping, Shu Qinmeng, Ding Xinyi, Jiang Rui, Chang Qing, Xu Gezhi, Liu Haimei, Sun Li, Zhou Min

机构信息

Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China.

Shanghai Key Laboratory of Visual Impairment and Restoration, Fudan University, Shanghai, China.

出版信息

J Ophthalmol. 2024 Nov 21;2024:5015614. doi: 10.1155/joph/5015614. eCollection 2024.

Abstract

To describe the clinical patterns and visual outcomes of pediatric uveitis at a tertiary referral center in East China. Retrospective case series. Clinical records of patients with pediatric uveitis who presented between January 2014 and July 2021 were reviewed. The children included ( = 283; 146 females, 137 males) had a mean age at presentation of 10.6 ± 3.5 years. There was a predominance of chronic (62.9%), noninfectious (81.3%) disease, and anterior uveitis was the most common uveitis type (54.8%). Idiopathic chronic anterior uveitis (17.3%) and juvenile idiopathic arthritis (JIA)-associated anterior uveitis (16.3%) were the most common noninfectious types; ocular toxocariasis (14.8%) and viral retinitis (1.4%) were the most common infectious etiologies. Ocular complications were observed in 53.0% of patients during follow-up. Systemic immunosuppressive therapy was administered to 66.8% of patients, 67.2% of whom required immunosuppressive drugs and/or biological agents (127/189 children). Surgical treatment was conducted in 38 (13.4%) patients. Improvement or preservation of visual acuity was observed in 95.2% of patients for whom follow-up visual acuity was recorded (179/188 patients). Pediatric uveitis was predominantly chronic and noninfectious, with anterior involvement. Systemic therapy was required by most patients, and most eyes showed improved visual acuity.

摘要

描述中国东部一家三级转诊中心小儿葡萄膜炎的临床模式和视力预后。回顾性病例系列研究。对2014年1月至2021年7月期间就诊的小儿葡萄膜炎患者的临床记录进行了回顾。纳入的儿童(n = 283;女性146例,男性137例)就诊时的平均年龄为10.6±3.5岁。以慢性(62.9%)、非感染性(81.3%)疾病为主,前葡萄膜炎是最常见的葡萄膜炎类型(54.8%)。特发性慢性前葡萄膜炎(17.3%)和幼年特发性关节炎(JIA)相关的前葡萄膜炎(16.3%)是最常见的非感染性类型;眼弓蛔虫病(14.8%)和病毒性视网膜炎(1.4%)是最常见的感染病因。随访期间53.0%的患者出现眼部并发症。66.8%的患者接受了全身免疫抑制治疗,其中67.2%的患者需要免疫抑制药物和/或生物制剂(189名儿童中的127名)。38例(13.4%)患者接受了手术治疗。在有随访视力记录的患者中,95.2%(188例患者中的179例)视力得到改善或保持。小儿葡萄膜炎主要为慢性和非感染性,以前部受累为主。大多数患者需要全身治疗,大多数患眼视力得到改善。

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