Only a handful of children with juvenile rheumatoid arthritis (JRA) present in the average practice, but pediatricians should be aware of the importance of prompt and periodic eye examinations for these patients, according to a newly updated clinical report, Ophthalmologic Examinations in Children with Juvenile Rheumatoid Arthritis(

Pediatrics
.
2006
;
117
:
1843
-1845
).

The report calls for slit-lamp ophthalmologic examinations every three, six or 12 months in children with JRA. Examination frequency varies with type of arthritis, child's age at diagnosis, duration of disease and presence of antinuclear antibodies (ANA). Children who are diagnosed with oligoarthritis or polyarthritis before 6 years of age, have been diagnosed within the past four years, and are ANA positive are at highest risk and should have a slit-lamp exam every three months.

Children with systemic disease are at low risk, regardless of ANA status,age at diagnosis or duration of disease...

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