DR. PRIYAMVADA JAIN

DR. PADMAMALINI MAHENDRA DAS, DR. PRATHIBHA HANDE, DR. ADITYA PATIL

Abstract

PURPOSE: To describe the clinical presentation, imaging, management and outcomes in 65 eyes of 43 pediatric patients with intermediate uveitis. METHODS: All 43 patients underwent complete eye exam and relevant laboratory tests for etiology of intermediate uveitis. RESULTS: There was blurring of vision in 62.79%, pain in 23.25%, redness in 23.25% and other complaints in 6.97% of patients. The baseline visual acuity was >6/12 in 72.09%, 6/12 to 6/60 in 20.93% and <6/60 in 6.97% of patients. Cataract was seen in 37.20% patients. 41.86% had AC spill-over, 11.62% had posterior segment involvement. Patients were treated with topical steroids, NSAIDs, systemic steroids and immunosuppressive therapy. Anti-tubercular treatment was given in 9.30% patients. Laser procedures were required in 6.97%. On follow-up, vision improved in 25.58%, worsened in 11.62% and remained same in 44.18%. CONCLUSION: Our study describes the challenges in evaluation and management of pediatric intermediate uveitis.