Recommendations For The Management Of Childhood Juvenile Idiopathic Arthritis-Type Chronic Anterior Uveitis

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.