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Recommendations for the management of childhood juvenile idiopathic arthritis‐type chronic anterior uveitis
Author(s) -
Smith Justine R.,
Matthews Janet M.,
Conrad Diana,
Hall Anthony J.,
Niederer Rachael L.,
SinghGrewal Davinder,
TayKearney MeiLing,
Wells Jane M.,
Zagora Sophia L.,
McCluskey Peter J.
Publication year - 2021
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/ceo.13856
Subject(s) - medicine , uveitis , delphi method , arthritis , intermediate uveitis , family medicine , anterior uveitis , physical therapy , pediatrics , optometry , ophthalmology , statistics , mathematics
Importance Australian‐ and New Zealand‐based, uveitis‐specialized ophthalmologists have produced recommendations for the management of juvenile idiopathic arthritis (JIA)‐type chronic anterior uveitis. Background Historically, the visual prognosis of JIA‐type chronic anterior uveitis has been poor. New medical advances are likely to improve outcomes, but recently published guidelines are tailored for ophthalmic care in Europe and the United States. Design This work involved a consensus survey and a panel meeting. Participants The Australian and New Zealand JIA‐Uveitis Working Group (29 ophthalmologists) participated in the work. Methods The Delphi technique was used to achieve consensus. Main Outcome Measures This work yielded consensus statements. Results The Working Group achieved consensus around 18 statements related to clinical evaluation, use of topical and regional corticosteroids, use of systemic corticosteroid and non‐corticosteroid immunomodulatory drugs, and management of secondary cataract and glaucoma in childhood JIA‐type uveitis. Conclusions and Relevance Recommendations of the Australian and New Zealand JIA‐Uveitis Working Group provide current and regionally applicable advice for managing chronic anterior uveitis in children with JIA.