The Pattern of Uveitis in a Pediatric Population at a Tertiary Center in Thailand

Ocul Immunol Inflamm. 2023 Jan;31(1):56-64. doi: 10.1080/09273948.2021.1980814. Epub 2021 Oct 22.

Abstract

Purpose: To describe the clinical characteristics and longitudinal pattern of visual acuity (VA) of pediatric patients with uveitis at a tertiary center in Thailand.

Methods: We retrospectively reviewed the records of children with uveitis ≤16 years who presented to the clinic between January 2010 and June 2020.

Results: The mean age at onset was 9.1(±4.3) years; the main characteristics were chronic (64.4%), unilateral (68.6%), and panuveitis (39%). The common etiologies were ocular toxoplasmosis (11.9%), herpetic uveitis (10.2%), and ocular toxocariasis (6.8%). Further, 40% of the eyes presented with VA of ≤20/200; mean VA at baseline improved from 0.93 to 0.72 logMAR at 3 months after presentation (P < .001), the baseline VA of ≤20/200 was significantly associated with poor VA outcome at 1 year.

Conclusion: Chronic, unilateral, and panuveitis represented the majority of our children with uveitis. Infectious etiology was common. Significant VA improvement can be achieved with optimum management.

Keywords: Childhood uveitis; Thailand; characteristics; children; epidemiology; pediatric uveitis; visual outcomes.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Humans
  • Panuveitis*
  • Retrospective Studies
  • Thailand / epidemiology
  • Uveitis* / diagnosis
  • Uveitis* / epidemiology
  • Visual Acuity