Clinical patterns of uveitis in children in two ophthalmological centers in Bogota, Colombia

Alejandra De-La-Torre; Marcela Lonngi; Camila Aguilar; Hernán Ríos; Cristian Aristizábal-Duque; Francisco Rodríguez

Resumen

Propósito
Describir las características clínicas de la uveítis en pacientes pediátricos atendidos en dos centros oftalmológicos de Bogotá, Colombia, en un periodo de 13 años entre enero de 2000 y julio de 2013.

Métodos
Estudio observacional y descriptivo retrospectivo. Revisión sistemática de las historias clínicas de pacientes pediátricos con diagnóstico de uveítis en la Fundación Oftalmológica Nacional y en la Clínica de Uveítis de la Universidad del Rosario en Bogotá, Colombia. Los datos fueron analizados y comparados con reportes previos.

Resultados
Se encontró uveítis en 311 niños, de los cuales 161 eran mujeres (51,8%) y 150 hombres (48,2%). La edad media de presentación fue de 10,1 años. La uveítis posterior fue el tipo de uveítis más frecuente (58,8%), de inicio insidioso (77,8%) y curso crónico (25,1%). La etiología más frecuente fue la infecciosa (58,2%), siendo la toxoplasmosis la causa más frecuente (44,6%), seguida de la toxocariasis (17,7%). La uveítis idiopática (33%) fue la segunda en frecuencia. Las causas menos frecuentes fueron los traumatismos (3,5%), la artritis idiopática juvenil (1,9%), el síndrome de Vogt-Koyanagi-Harada (1%), las espondiloartropatías (0,3%), la sarcoidosis (0,3%) y la enfermedad de Eales (0,3%). Hubo una diferencia estadísticamente significativa en la agudeza visual entre la uveítis anterior (20/67) y la intermedia (20/69), en comparación con la uveítis posterior (20/417) y la panuveítis (20/209) (p <0,05).

Conclusiones
Este trabajo es el primer reporte de características clínicas de uveítis en niños en Colombia. Las etiologías infecciosas, especialmente las parasitarias, son la principal causa de uveítis en la población pediátrica de nuestro país. Este estudio mejorará la conciencia y el conocimiento de la uveítis pediátrica en los países subdesarrollados y contribuirá al mejoramiento de las políticas de salud pública en salud visual pediátrica.

Título traducido de la contribución	Patrones clínicos de uveítis en niños en dos centros oftalmológicos de Bogotá, Colombia
Idioma original	Inglés estadounidense
Páginas	1
Número de páginas	1
Estado	Publicada - jun 2015
Evento	ARVO Annual Meeting Abstract: June 2015 - Duración: jun 15 2015 → jun 20 2015

Conferencia

Conferencia	ARVO Annual Meeting Abstract
Título abreviado	ARVO
Período	6/15/15 → 6/20/15

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

ODS 3: Salud y bienestar

Áreas temáticas de ASJC Scopus

Oftalmología

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https://iovs.arvojournals.org/article.aspx?articleid=2332974

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@conference{f4b5cff2bf2d4c50857a223adb66ec59,

title = "Clinical patterns of uveitis in children in two ophthalmological centers in Bogota, Colombia",

abstract = "Purpose To describe the clinical features of uveitis in pediatric patients treated in two ophthalmological centers in Bogot{\'a}, Colombia, in a 13 year-period between January 2000 and July 2013. Methods Retrospective observational and descriptive study. Systematic review of the clinical records of pediatric patients with diagnosis of uveitis at the Fundaci{\'o}n Oftalmol{\'o}gica Nacional and at the Uveitis Clinic from Universidad del Rosario in Bogot{\'a}, Colombia. Data was analyzed and compared to previous reports. Results Uveitis was found in 311 children, of which 161 were female (51.8\%) and 150 were male (48.2\%). Mean age of presentation was 10.1 years. Posterior uveitis was the most common type of uveitis (58.8\%), more frequently of insidious onset (77.8\%) and chronic course (25.1\%). The most common etiology was infectious (58.2\%); being toxoplasmosis the most frequent cause (44.6\%), followed in by toxocariasis (17.7\%). Idiopathic uveitis (33\%) was found to be the second one in frequency. Less frequent causes were trauma (3.5\%), juvenile idiopathic arthritis (1.9\%), Vogt-Koyanagi-Harada syndrome (1\%), spondyloarthropathies (0.3\%), sarcoidosis (0.3\%), and Eales disease (0.3\%). There was a statistically significant difference in visual acuity between anterior (20/67) and intermediate uveitis (20/69), compared to posterior uveitis (20/417) and panuveitis (20/209) (p <0,05). Conclusions This work is the first report of clinical features of uveitis in children in Colombia. Infectious etiologies, especially parasitic diseases, are the main cause of uveitis in pediatric population in our country. This study will improve awareness and knowledge of pediatric uveitis in under-development countries, and it would contribute to the improvement of public health policies of pediatric visual-health.",

author = "Alejandra De-La-Torre and Marcela Lonngi and Camila Aguilar and Hern{\'a}n R{\'i}os and Cristian Aristiz{\'a}bal-Duque and Francisco Rodr{\'i}guez",

year = "2015",

month = jun,

language = "English (US)",

pages = "1",

note = "ARVO Annual Meeting Abstract : June 2015, ARVO ; Conference date: 15-06-2015 Through 20-06-2015",

}

TY - CONF

T1 - Clinical patterns of uveitis in children in two ophthalmological centers in Bogota, Colombia

AU - De-La-Torre, Alejandra

AU - Lonngi, Marcela

AU - Aguilar, Camila

AU - Ríos, Hernán

AU - Aristizábal-Duque, Cristian

AU - Rodríguez, Francisco

PY - 2015/6

Y1 - 2015/6

N2 - Purpose To describe the clinical features of uveitis in pediatric patients treated in two ophthalmological centers in Bogotá, Colombia, in a 13 year-period between January 2000 and July 2013. Methods Retrospective observational and descriptive study. Systematic review of the clinical records of pediatric patients with diagnosis of uveitis at the Fundación Oftalmológica Nacional and at the Uveitis Clinic from Universidad del Rosario in Bogotá, Colombia. Data was analyzed and compared to previous reports. Results Uveitis was found in 311 children, of which 161 were female (51.8%) and 150 were male (48.2%). Mean age of presentation was 10.1 years. Posterior uveitis was the most common type of uveitis (58.8%), more frequently of insidious onset (77.8%) and chronic course (25.1%). The most common etiology was infectious (58.2%); being toxoplasmosis the most frequent cause (44.6%), followed in by toxocariasis (17.7%). Idiopathic uveitis (33%) was found to be the second one in frequency. Less frequent causes were trauma (3.5%), juvenile idiopathic arthritis (1.9%), Vogt-Koyanagi-Harada syndrome (1%), spondyloarthropathies (0.3%), sarcoidosis (0.3%), and Eales disease (0.3%). There was a statistically significant difference in visual acuity between anterior (20/67) and intermediate uveitis (20/69), compared to posterior uveitis (20/417) and panuveitis (20/209) (p <0,05). Conclusions This work is the first report of clinical features of uveitis in children in Colombia. Infectious etiologies, especially parasitic diseases, are the main cause of uveitis in pediatric population in our country. This study will improve awareness and knowledge of pediatric uveitis in under-development countries, and it would contribute to the improvement of public health policies of pediatric visual-health.

AB - Purpose To describe the clinical features of uveitis in pediatric patients treated in two ophthalmological centers in Bogotá, Colombia, in a 13 year-period between January 2000 and July 2013. Methods Retrospective observational and descriptive study. Systematic review of the clinical records of pediatric patients with diagnosis of uveitis at the Fundación Oftalmológica Nacional and at the Uveitis Clinic from Universidad del Rosario in Bogotá, Colombia. Data was analyzed and compared to previous reports. Results Uveitis was found in 311 children, of which 161 were female (51.8%) and 150 were male (48.2%). Mean age of presentation was 10.1 years. Posterior uveitis was the most common type of uveitis (58.8%), more frequently of insidious onset (77.8%) and chronic course (25.1%). The most common etiology was infectious (58.2%); being toxoplasmosis the most frequent cause (44.6%), followed in by toxocariasis (17.7%). Idiopathic uveitis (33%) was found to be the second one in frequency. Less frequent causes were trauma (3.5%), juvenile idiopathic arthritis (1.9%), Vogt-Koyanagi-Harada syndrome (1%), spondyloarthropathies (0.3%), sarcoidosis (0.3%), and Eales disease (0.3%). There was a statistically significant difference in visual acuity between anterior (20/67) and intermediate uveitis (20/69), compared to posterior uveitis (20/417) and panuveitis (20/209) (p <0,05). Conclusions This work is the first report of clinical features of uveitis in children in Colombia. Infectious etiologies, especially parasitic diseases, are the main cause of uveitis in pediatric population in our country. This study will improve awareness and knowledge of pediatric uveitis in under-development countries, and it would contribute to the improvement of public health policies of pediatric visual-health.

M3 - Abstract

SP - 1

T2 - ARVO Annual Meeting Abstract

Y2 - 15 June 2015 through 20 June 2015

ER -