Factors Associated With Glaucoma Surgery in Pediatric Non-Infectious Uveitis

Charlotte L L I van Meerwijk; Wietse G Wieringa; Joke H de Boer; Nomdo M Jansonius; Leonoor I Los

doi:10.1080/09273948.2023.2166849

Factors Associated With Glaucoma Surgery in Pediatric Non-Infectious Uveitis

Ocul Immunol Inflamm. 2023 Dec;31(10):2018-2023. doi: 10.1080/09273948.2023.2166849. Epub 2023 Feb 2.

Authors

Charlotte L L I van Meerwijk^{1

2}, Wietse G Wieringa¹, Joke H de Boer³, Nomdo M Jansonius^{1

2}, Leonoor I Los^{1

4}

Affiliations

¹ Department of Ophthalmology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
² Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, Groningen, The Netherlands.
³ Department of Ophthalmology, University Medical Center Utrecht, University of Utrecht, Utrecht, The Netherlands.
⁴ W.J. Kolff Institute, Graduate School of Medical Sciences, University of Groningen, Groningen, The Netherlands.

PMID: 36731522
DOI: 10.1080/09273948.2023.2166849

Abstract

Purpose: To identify factors associated with glaucoma surgery in pediatric uveitis.

Methods: Patients diagnosed with uveitis before their 18^th birthday and with an observation period of at least one year were included in a retrospective case-control study.

Results: A total of 185 patients were included, 84 of whom had undergone glaucoma surgery. Juvenile idiopathic arthritis (JIA)-related uveitis was associated with undergoing glaucoma surgery (p = .002). In the JIA-subgroup, the presence of anterior segment complications (OR 3.1 (95% CI 1.0 to 9.6); P = .045) and an IOP > 21 mmHg during the first uveitis remission (OR 4.5 (95% CI 1.3 to 15.2); P = .015) were associated with an increased risk of glaucoma surgery. Sixty-eight percent of the cases needed glaucoma surgery within one year after they started IOP-lowering triple therapy.

Conclusion: The risk profile for undergoing glaucoma surgery as outlined in this study is a valuable help to recognize and treat secondary glaucoma in a timely manner.

Keywords: Glaucoma; pediatrics; risk factors; surgery; uveitis.

MeSH terms

Arthritis, Juvenile* / complications
Case-Control Studies
Child
Glaucoma* / etiology
Glaucoma* / surgery
Humans
Intraocular Pressure
Retrospective Studies
Risk Factors
Trabeculectomy*
Uveitis* / complications
Uveitis* / diagnosis