Uveitis screening

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]

Overview

There is insufficient evidence to recommend routine screening for uveitis for the general population. For patients diagnosed with or suspected of having juvenile idiopathic arthritis (JIA), screening guidelines have been recommended by the American Academy of Pediatrics (AAP) and the British Society of Paediatrics and Rheumatology (BSPAR).[1][2]

Screening

There is insufficient evidence to recommend routine screening for uveitis for the general population.[3] For patients diagnosed with, or suspected of having juvenile idiopathic arthritis (JIA), screening guidelines have been recommended based on the AAP, Cincinnati Children's Hospital, and the BSPAR. Screening for uveitis in children with JIA is recommended as follows:

  • Patients should be referred at the time of diagnosis or suspicion of JIA, and a slit lamp ophthalmologic examination be performed within one month to 6 weeks of referral. It is recommended that after the initial screening examination, regular follow-up screenings be maintained based on risk category and classification.

For access to the complete American guideline,click here.[2]

For access to the complete British guideline,click here.[1]

References

  1. 1.0 1.1 Sen ES, Dick AD, Ramanan AV (2015). "Uveitis associated with juvenile idiopathic arthritis". Nat Rev Rheumatol. 11 (6): 338–48. doi:10.1038/nrrheum.2015.20. PMID 25825278.
  2. 2.0 2.1 Cassidy J, Kivlin J, Lindsley C, Nocton J, Section on Rheumatology. Section on Ophthalmology (2006). "Ophthalmologic examinations in children with juvenile rheumatoid arthritis". Pediatrics. 117 (5): 1843–5. doi:10.1542/peds.2006-0421. PMID 16651348.
  3. U.S. Preventative Services Task Force Recommendations (2016)http://www.uspreventiveservicestaskforce.org/BrowseRec/Index/browse-recommendations

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