Recommendations for the management of childhood juvenile idiopathic arthritis-type chronic anterior uveitis

Justine R. Smith; Janet M. Matthews; Diana Conrad; Anthony J. Hall; Rachael L. Niederer; Davinder Singh-Grewal; Mei Ling Tay-Kearney; Jane M. Wells; Sophia L. Zagora; Australian and New Zealand Juvenile Idiopathic Arthritis-Uveitis Working Group; Peter J. McCluskey

doi:10.1111/ceo.13856

Recommendations for the management of childhood juvenile idiopathic arthritis-type chronic anterior uveitis

Justine R. Smith, Janet M. Matthews, Diana Conrad, Anthony J. Hall, Rachael L. Niederer, Davinder Singh-Grewal, Mei Ling Tay-Kearney, Jane M. Wells, Sophia L. Zagora, Australian and New Zealand Juvenile Idiopathic Arthritis-Uveitis Working Group, Peter J. McCluskey

College of Medicine and Public Health

Research output: Contribution to journal › Article › peer-review

21 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	38-45
Number of pages	8
Journal	Clinical & Experimental Ophthalmology
Volume	49
Issue number	1
DOIs	https://doi.org/10.1111/ceo.13856
Publication status	Published - Jan 2021

Keywords

immunosuppression
juvenile rheumatoid arthritis
uveitis

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Smith, J. R., Matthews, J. M., Conrad, D., Hall, A. J., Niederer, R. L., Singh-Grewal, D., Tay-Kearney, M. L., Wells, J. M., Zagora, S. L., Australian and New Zealand Juvenile Idiopathic Arthritis-Uveitis Working Group, & McCluskey, P. J. (2021). Recommendations for the management of childhood juvenile idiopathic arthritis-type chronic anterior uveitis. Clinical & Experimental Ophthalmology, 49(1), 38-45. https://doi.org/10.1111/ceo.13856

@article{6bdcbf520a384643a62c87f2cee6e7a6,

title = "Recommendations for the management of childhood juvenile idiopathic arthritis-type chronic anterior uveitis",

abstract = "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.",

keywords = "immunosuppression, juvenile rheumatoid arthritis, uveitis",

author = "Smith, {Justine R.} and Matthews, {Janet M.} and Diana Conrad and Hall, {Anthony J.} and Niederer, {Rachael L.} and Davinder Singh-Grewal and Tay-Kearney, {Mei Ling} and Wells, {Jane M.} and Zagora, {Sophia L.} and {Australian and New Zealand Juvenile Idiopathic Arthritis-Uveitis Working Group} and Chang, {John H.} and Elisa Cornish and Narme Deva and Dunlop, {Anthony A. S.} and Xavier Fagan and Samantha Fraser-Bell and Timothy Greenwell and Stephen Guest and Graham Hay-Smith and Heydon, {Peter G.} and Hooper, {Claire Y.} and Lyndell Lim and Ming-Lee Lin and Josephine Richards and Jo Sims and Richard Stawell and Richard Symes and Robyn Troutbeck and Anagha Vaze and Denis Wakefield and Christine Younan and McCluskey, {Peter J.}",

year = "2021",

month = jan,

doi = "10.1111/ceo.13856",

language = "English",

volume = "49",

pages = "38--45",

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Smith, JR, Matthews, JM, Conrad, D, Hall, AJ, Niederer, RL, Singh-Grewal, D, Tay-Kearney, ML, Wells, JM, Zagora, SL, Australian and New Zealand Juvenile Idiopathic Arthritis-Uveitis Working Group & McCluskey, PJ 2021, 'Recommendations for the management of childhood juvenile idiopathic arthritis-type chronic anterior uveitis', Clinical & Experimental Ophthalmology, vol. 49, no. 1, pp. 38-45. https://doi.org/10.1111/ceo.13856

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T1 - Recommendations for the management of childhood juvenile idiopathic arthritis-type chronic anterior uveitis

AU - Smith, Justine R.

AU - Matthews, Janet M.

AU - Conrad, Diana

AU - Hall, Anthony J.

AU - Niederer, Rachael L.

AU - Singh-Grewal, Davinder

AU - Tay-Kearney, Mei Ling

AU - Wells, Jane M.

AU - Zagora, Sophia L.

AU - Australian and New Zealand Juvenile Idiopathic Arthritis-Uveitis Working Group

AU - Chang, John H.

AU - Cornish, Elisa

AU - Deva, Narme

AU - Dunlop, Anthony A. S.

AU - Fagan, Xavier

AU - Fraser-Bell, Samantha

AU - Greenwell, Timothy

AU - Guest, Stephen

AU - Hay-Smith, Graham

AU - Heydon, Peter G.

AU - Hooper, Claire Y.

AU - Lim, Lyndell

AU - Lin, Ming-Lee

AU - Richards, Josephine

AU - Sims, Jo

AU - Stawell, Richard

AU - Symes, Richard

AU - Troutbeck, Robyn

AU - Vaze, Anagha

AU - Wakefield, Denis

AU - Younan, Christine

AU - McCluskey, Peter J.

PY - 2021/1

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N2 - 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.

AB - 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.

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Recommendations for the management of childhood juvenile idiopathic arthritis-type chronic anterior uveitis

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Keywords

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