Juvenile idiopathic arthritis associated uveitis in adults: a case series.
OBJECTIVE
To report a series of adults with uveitis following juvenile idiopathic arthritis (JIA) and uveitis as children.


METHODS
The clinical features, treatment, complications, and visual outcome were ascertained for 17 patients at a single centre.


RESULTS
Seventeen adults with previously diagnosed JIA and ongoing uveitis (30 eyes) were identified. All required at least topical steroids. The complication rate was high (15 patients, 23 eyes), most frequently cataract (57%), glaucoma (33%), and posterior synechiae (30%). The rate of visual acuity loss to 6/12 threshold (6/12 or worse) for patients with uveitis < 15 years (Group A) was 13.3%, (and 6.7% to 6/60 threshold) and for patients with uveitis >15 years (Group B) was 26.7% (and 20% to 6/60 threshold). Overall, the rate of visual acuity loss to 6/12 threshold was 20% (6 eyes) and to 6/60 threshold, 13.3% (4 eyes).


CONCLUSIONS
JIA may be associated with ongoing uveitis and complications in adulthood.
Camuglia
Jayne E
JE
The Alfred Hospital, Melbourne, VIC, Australia.
Whitford
Cecily L
CL
Hall
Anthony J H
AJ
D000293:Adolescent; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001171:Arthritis, Juvenile / Q000150:complications* / Q000188:drug therapy; D002386:Cataract / Q000209:etiology; D002648:Child; D003316:Corneal Diseases / Q000209:etiology; D005260:Female; D005901:Glaucoma / Q000209:etiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D015814:Ocular Hypotension / Q000209:etiology; D012164:Retinal Diseases / Q000209:etiology; D014605:Uveitis / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D014792:Visual Acuity; D055815:Young Adult
D000894:Anti-Inflammatory Agents, Non-Steroidal; D007166:Immunosuppressive Agents