Eye injuries in children with rheumatological diseases in a pediatric hospital

  • Olivia Carolina Cardozo Sarubbi Hospital General Pediátrico Niños de Acosta Ñu, Servicio de Oftalmología Pediátrica. San Lorenzo, Paraguay https://orcid.org/0000-0002-2788-995X
  • Victor López Hospital General Pediátrica Niños de Acosta Ñu, Servicio de Pediatría. San Lorenzo, Paraguay
  • Cynthia Elizabeth Vega Balbuena Hospital General Pediátrica Niños de Acosta Ñu, Servicio de Reumatología. San Lorenzo, Paraguay https://orcid.org/0000-0003-1429-3273
  • Mirta Noemí Mesquita Ramirez Hospital General Pediátrico Niños de Acosta Ñu, Departamento de Docencia e Investigación. San Lorenzo, Paraguay https://orcid.org/0000-0003-1249-3327
Keywords: autoimmune diseases, pediatrics, anterior uveitis, keratoconjunctivitis sicca

Abstract

Introduction: Rheumatic diseases are a group of chronic systemic disorders caracterized by connective tissue inflammatio. Rheumatic diseases in children can cause inflammation of all structures of the eye. Early detection can prevent complications that lead to decreased visual acuity or even visual loss.

Objective: To describe ocular pathologies observed in pediatric patients with rheumatological disease at the Hospital General Pediátrico Niños de Acosta Ñu, from May to October 2019.

Materials and Methods: Observational, descriptive, cross-sectional study. Patients with rheumatological disease undergoing ophthalmological evaluation were included. Studied variables included age, sex, rheumatological diagnosis, presence of ocular symptoms, presence and type of ocular pathology, location, time of evolution, and treatment received. The data were analyzed with SPSS v21 using descriptive and inferential statistics. The study was approved by the ethics committee of the institution.

Results: 61 patients with a median of 12 years and a female predominance were included. Juvenile Idiopathic Arthritis was the most frequent rheumatological diagnosis (41%). Ocular pathology was observed in 27.8%. The most frequent lesion was keratoconjunctivitis sicca. Ocular lesions presented at a median of 18 months after the disease was diagnosed.

Conclusions: 27.8% of the patients with rheumatological disease had ocular involvement. The most frequent lesson found was keratoconjunctivitis sicca.

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Author Biographies

Olivia Carolina Cardozo Sarubbi, Hospital General Pediátrico Niños de Acosta Ñu, Servicio de Oftalmología Pediátrica. San Lorenzo, Paraguay

Doctora en Medicina. Especialista en Oftalmologia pediátrica. Coordinadora de Oftalmologia pediatrica del Hospital General Pediatrico Niños de Acosta Ñu.

Victor López, Hospital General Pediátrica Niños de Acosta Ñu, Servicio de Pediatría. San Lorenzo, Paraguay

Médico Pediatra. Exresidente  del Servicio de Pediatría del Hospital General Pediatrico Niños de Acosta Ñu.

Cynthia Elizabeth Vega Balbuena, Hospital General Pediátrica Niños de Acosta Ñu, Servicio de Reumatología. San Lorenzo, Paraguay

Doctora en Medicina. Especialista en Reumatología pediátrica. Master en Enfermedades Autoinmunes.

References

(1) Petty R, Laxer R, Lindsley C, Wedderburn L. Textbook of pediatric rheumatology. 5th ed. Philadelphia: Elsevier Saunders; 2005.

(2) Méndez Méndez M, Hernández González V, Joa Miró E, Coto Hermosilla C, Cantera Oceguera D. Uveítis y enfermedades del tejido conectivo en la infancia. Rev Cubana de Reumatolo [Internet]. 2005;7 (41-48): Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article/view/114

(3) Gómez Morales J, Blanco Cabrera Y, Llópiz Morales M, Reyes Pineda Y, Solis Cartas E. Manifestaciones oftálmicas derivadas del tratamiento de las enfermedades reumáticas. Rev Cuba Reumatol [Internet]. 2015 Abr;17(1): 61-67. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962015000100009&lng=es

(4) Hayworth JL, Turk MA, Nevskaya T, Pope JE. The frequency of uveitis in patients with juvenile inflammatory rheumatic diseases. Joint Bone Spine. 2019 ;86(6):685-690. doi: 10.1016/j.jbspin.2019.06.001.

(5) Morelle G, Gueudry J, Uettwiller F, Wouters C, Bader-Meunier B, et al

Chronic and recurrent non-infectious paediatric-onset uveitis: a French cohort. RMD Open. 2019 Aug 5;5(2): e000933. doi: 10.1136/rmdopen-2019-000933. eCollection 2019.PMID: 31452929.

(6) Palejwala N V, Yeh S, Angeles-Han ST. Current Perspectives on Ophthalmic Manifestations of Childhood Rheumatic Diseases Curr Rheumatol Rep. 2013 Jul; 15(7): 341. doi: 10.1007/s11926-013-0341-3.

(7) Sen ES, Ramanan AV. Juvenile idiopathic arthritis-associated uveitis. Clin Immunol. 2020 Feb; 211:108322. doi: 10.1016/j.clim.2019.108322.

(8) De La Torre A, Núñez MN. Inmunología ocular: síndromes de ojo seco. Revista Colombiana Oftalmología [Internet]. 2002 [citado 2019 nov 17];33(3): [aprox. 14p]. Disponible en: http://colombiaedica.uniculle.edu.co/vol33No3/ocular.htm

(9) El-Shereef RR, Mohamed AS, Hamdy L. Ocular manifestation of systemic lupus erythematosus. Rheumatol Int 2011;28(Epub ahead of print).

(10) Akinci A, Cakar N, Uncu N, Kara N, Acaroglu G. Keratoconjunctivitis sicca in juvenile rheumatoid arthritis Cornea. 2007 Sep;26(8):941-4. doi: 10.1097/ICO.0b013e3180de1f34.

(11) Fischer WGG, Kaé TO, de Almeida R, de Oliveira Filho UL, Vilela MAP, Araujo DB. Bilateral chorioretinopathy in child-onset systemic lupus erythematosus. Lupus. 2017 6(10):1112-1114. doi: 10.1177/0961203316676385.

(12) Dammacco R. Systemic lupus erythematosus and ocular involvement: an overview Clin Exp Med 2018 ;18(2):135-149. doi: 10.1007/s10238-017-0479-9.

(13) López-Rubio S, De Alba-Castilla M, Rodríguez-García A. Prevalencia de manifestaciones oftalmológicas en pacientes con lupus eritematoso sistémico. Rev. Mex. de Oftalmol 2012;86(4):240-249

Published
2020-10-30
How to Cite
1.
Cardozo Sarubbi OC, López V, Vega Balbuena CE, Mesquita Ramirez MN. Eye injuries in children with rheumatological diseases in a pediatric hospital. Rev. parag. reumatol. [Internet]. 2020Oct.30 [cited 2025Jul.16];6(2):55-9. Available from: http://revista.spr.org.py/index.php/spr/article/view/123
Section
ORIGINAL ARTICLES