Authors
Davydov A.O., Sarycheva K.E., Taevere M.R., Osokin I.G.
S.N. Fyodorov Eye Microsurgery Federal State Institution of the Russian Ministry of Health, Moscow
Abstract
Intermediate uveitis often occurs asymptomatically, and children tend to underestimate changes in vision until the first complications appear, leading to a prolonged course of the disease without treatment. The formation of opacities in the lens is one of the most common complications of uveitis in children that require surgical intervention. However, lens opacification is often considered in isolation from other changes in the eye, which in turn defines the goal of the surgery as achieving a quick functional result. At the same time, one of the complications of intermediate chronic uveitis, existing alongside cataract, is the cyclitic membrane, which is an important factor in determining the strategy for surgical treatment. This article presents a clinical case of treating complications of uveitis in a child, where the intervention strategy aimed to minimize the number of complications in the future despite the delayed functional outcome.
Keywords: Pediatric uveitis; intermediate uveitis; cataract; cyclitic membrane; case report.
References
1. Tugal-Tutkun I, Havrlikova K, Power WJ, Foster CS. Changing patterns in uveitis of childhood. Ophthalmology. 1996;103:375–83
2. Arie Y Nemet , Judith Raz, Dan Sachs, Ronit Friling, Ron Neuman, Michal Kramer, Suresh K Pandi, Vidushi Sharma, Ehud I Assia. Primary intraocular lens implantation in pediatric uveitis: a comparison of 2 populations.
Arch Ophthalmol. 2007 Mar;125(3):354-60. doi: 10.1001/archopht.125.3.354.
3. Sumita Phatak,corresponding author Careen Lowder, and Carlos Pavesio. Controversies in intraocular lens implantation in pediatric uveitis. J Ophthalmic Inflamm Infect. 2016; 6: 12. doi: 10.1186/s12348-016-0079-y
4. Ahmad Mohammed AlAmeer and Mohammed Al Shamrani. Outcome of cataract surgery in pediatric uveitis (experience at King Khalid Eye Specialist Hospital). Oman J Ophthalmol. 2022 Jan-Apr; 15(1): 43–48. doi: 10.4103/ojo.ojo_15_21
5. Luz Elena Concha del Río,corresponding author Gonzalo Alejandro Duarte González, Mariana Mayorquín Ruiz, and Lourdes Arellanes-García. Characterization of cyclitic membranes by ultrabiomicroscopy in patients with pars planitis. J Ophthalmic Inflamm Infect. 2020; 10: 7. doi: 10.1186/ s12348-020-0194-7
