Parasitic uveitis in pediatric population in Colombia
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abstract
Describir las características demográficas de pacientes con uveítis no infecciosa. Evaluar espectro etiológico de uveítis no infecciosa en población española y colombiana. Identificar complicaciones y secuelas secundarias a la enfermedad en ambas poblaciones.
To describe the clinical characteristics of infectious uveitis in pediatric patients managed in Bogotá, Colombia.Methods: a retrospective study was conducted, the medical records of 181 children with infectious uveitis were reviewed in the National Ophthalmological Foundation and the Uveitis Clinic of the University of the Rosary in Bogotá, Colombia.The data was analyzed and compared with previous reports. Results: Uveitis was found in 311 children, of whom 181 (58.2%) were infectious. 97 were women (53.6%) and 84 were men (46.4%). The average age of presentation was 9.7 years. Posterior uveitis was the most common type of infectious uveitis (94.5%), most frequently of insidious onset (90.9%) and chronic course (83.3%). The most common etiology was; toxoplasmosis being the most frequent cause (80.6%), followed by toxocariasis (14.3%) and deficiency of toxicity (1.6%).There was a significant decrease in visual acuity (20/514) in eyes with posterior uveitis, in which toxoplasma was the main cause (84.0%). Conclusions: this is the first report of clinical characteristics of infectious uveitis in children in Colombia.Infectious etiologies, especially parasitic etiologies, are the main cause of uveitis in the pediatric population of our country. The report contributes to the understanding of the distribution of toxoplasma and its clinical characteristics in underdeveloped countries, and would contribute to the improvement of public health policies of pediatric visual health.
