View abstract

This abstract is assigned to session SBO-BOG Free papers: Medische retina en oculaire inflammatie /Rétine médicale et inflammation oculaire

Title

Management of Juvenile Idiopathic Arthritis

Purpose	Children with JIA present a complex set of management issues when requiring surgery for ocular complications. Outcomes are generally limited. Does aggressive medical and surgical management improve outcomes?
Methods	A retrospective review of the outcomes (vision, therapy, complications) in patients managed with an intense regiment of methotrexate, +/- steroids, +/- biologics. Surgery was planned based on need but consisted in a complete pars plana vitrectomy with ciliary body shaving, ILM peel, and where appropriate an intraocular lens implant. If no implant was placed, the capsule was removed.
Results	All patients had improvement in vision. Only one eye lost significant vision during an episode of hypotony following a reduction in the anti-inflammatory medications 24 months after surgery. Median vision prior to surgery was 0.05. At one year, median vision was 0.6.
Conclusion	In JIA aggressive management both medical and surgical improves the visual outcome. However, long term medical treatment is required even after successful surgery.

Author 1

Last name	de SMET
Initials	MD
Department	University of Amsterdam; ZNA Middeleheim Campus
City	Amsterdam ; Antwerp