• Wei-Dar Chen, Cheng-Hsiu Wu, Po-Yi Wu, Chang-Ping Lin, Liang-Shiou Ou, De-Kuang Hwang, Shwu-Jiuan Sheu, Wei-Yu Chiang, Yo-Chen Chang, Chun-Ju Lin, Wei-Chun Chan, Yueh-Fu Fang, Chien-Chieh HuangJerryJDepartment of Ophthalmology, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan., Tzu-En Kao, Fang-Yi Chiu, Ning-Yi Hsia, and Yih-Shiou Hwang.
• Department of Ophthalmology, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan; School of Medicine, Chang Gung University, Taoyuan, Taiwan.
• J Formos Med Assoc. 2024 Feb 28.

AbstractWe presented the development of a consensus guideline for managing juvenile idiopathic arthritis-associated uveitis (JIAU) in Taiwan, considering regional differences in manifestation and epidemiology. The Taiwan Ocular Inflammation Society (TOIS) committee formulated this guideline using a modified Delphi approach with two panel meetings. Recommendations were based on a comprehensive evidence-based literature review and expert clinical experiences, and were graded according to the Oxford Centre for Evidence-Based Medicine's "Levels of Evidence" guideline (March 2009). The TOIS consensus guideline consists of 10 recommendations in four categories: screening and diagnosis, treatment, complications, and monitoring, covering a total of 27 items. These recommendations received over 75% agreement from the panelists. Early diagnosis and a coordinated referral system between ophthalmologists and pediatric rheumatologists are crucial to prevent irreversible visual impairment in children with JIAU. However, achieving a balance between disease activity and medication use remains a key challenge in JIAU management, necessitating further clinical studies.Copyright © 2024 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.

5 keywords...

hide…