Furtado João M, Smith Justine R
Division of Ophthalmology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Flinders University College of Medicine and Public Health, Adelaide, Australia.
J Family Med Prim Care. 2024 Nov;13(11):4815-4818. doi: 10.4103/jfmpc.jfmpc_923_24. Epub 2024 Nov 18.
Up to 10% of uveitis cases occur in children, with notable implications due to the risk of chronicity and vision loss. It can result from infections, autoimmune and autoinflammatory diseases, trauma, or masquerade syndromes. Primary care providers are vital in early detection, symptom management, and timely specialist referral. Depending on the etiology, symptoms may include redness, pain, photophobia, vision changes, and sometimes more severe vision loss or intense pain. Conservative initial treatment may include pain relievers and corticosteroid eye drops. Specialist care involves a thorough ocular examination and diagnostic tests to identify the underlying cause. Treatment aims to control inflammation and preserve vision, often necessitating long-term medication, with compliance being crucial. In low-resource settings, telemedicine and generic drugs may be useful to manage costs. Preventative strategies focus on prenatal care to avoid congenital infections, and distinguishing uveitis from conditions like conjunctivitis is essential for proper treatment. Multidisciplinary care ensures comprehensive management of the child's health. In summary, early intervention and a collaborative approach among healthcare providers are key to mitigating the impact of uveitis on a child's life.
高达10%的葡萄膜炎病例发生在儿童中,由于存在慢性化和视力丧失的风险,具有显著影响。它可能由感染、自身免疫和自身炎症性疾病、创伤或伪装综合征引起。初级保健提供者在早期发现、症状管理和及时转诊至专科医生方面至关重要。根据病因不同,症状可能包括眼红、疼痛、畏光、视力变化,有时还会出现更严重的视力丧失或剧痛。初始保守治疗可能包括使用止痛剂和皮质类固醇眼药水。专科护理包括全面的眼部检查和诊断测试,以确定潜在病因。治疗旨在控制炎症并保护视力,通常需要长期用药,依从性至关重要。在资源匮乏地区,远程医疗和通用药物可能有助于控制成本。预防策略侧重于产前护理以避免先天性感染,并且将葡萄膜炎与结膜炎等病症区分开来对于正确治疗至关重要。多学科护理可确保对儿童健康进行全面管理。总之,早期干预以及医疗保健提供者之间的协作方法是减轻葡萄膜炎对儿童生活影响的关键。