Ayuso et al identified risk factors associated with poor visual acuity in pediatric patients with juvenile idiopathic arthritis (JIA). These can help to identify a patient who may benefit from more aggressive management. The authors are from University Medical Center Utrecht and Utrecht University in The Netherlands.


Patient selection: juvenile idiopathic arthritis with uveitis


Risk factors for poor visual acuity:

(1) male gender (independently associated with blindness)

(2) onset of uveitis before the onset of arthritis

(3) delay in diagnosis or failure to treat aggressively

(4) secondary glaucoma

(5) complications of cataract or other eye surgery

(6) more severe uveitis


An early age of onset was not a risk factor for poor visual acuity.


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