November 2020

I have different experiences with different ophthalmologists. One will administer or ask me to administer Cyclogyl drops before the appointment while another does not use the drops to look into the eye looking for a flareup. I do get anxious about the two different processes. Can the eye be fully seen to find the flare without the Cyclogyl?

By |November 9th, 2020|, |

Recently, a group of Canadian pediatric rheumatologists, pediatric ophthalmologists and patients and parents have been working together to develop standardized approaches for monitoring and treating children with uveitis associated with JIA.  It was felt important to develop standardized approaches because there is some variability in how children with JIA uveitis are managed. The specific [...]

How can we support uveitis treatment as parents at home? What actions can we undertake to support our child?

By |November 9th, 2020|, |

While the doctors can diagnose and monitor uveitis and prescribe medical treatments, it is essential for everyone on the care team, which includes parents and the patient, to recognize that, depending on the severity of the uveitis, other facets of the child's life can be affected. If parents realize that there can be effects [...]

My daughter has been diagnosed with panuveitis. Could you elaborate on the condition or possibly describe the main differences between uveitis and panuveitis?

By |November 9th, 2020|, |

The uveal tract, which is the middle layer of the eye, is that part of the eye that becomes inflamed in uveitis. As shown in the figure the uveal tract extends from the very back of the eye to the very front, ending as the iris (the colored part of the eye surrounding the pupil).  [...]

How often do patients go into remission? I have had inflammation in my eye for 7 years now and I can’t seem to get rid of it.

By |November 9th, 2020|, |

The course and outcomes of uveitis, including uveitis associated with juvenile arthritis, are variable; some children will have ongoing lingering disease activity and others can go into long-term control (remission).  At the present time we can make decisions about treatments based on experiences from large groups of patients with similar conditions.  However, the conclusions [...]

Do children with uveitis ever grow out of it?

By |November 9th, 2020|, |

We don't have enough information to answer this question precisely but it is almost certainly true that with early diagnosis, careful monitoring and use of new medications the possibility of permanent remission increases. I wouldn't say children can "outgrow" uveitis exactly but with proper treatment the abnormal process that gives rise to the uveitis [...]

With the current treatment that you are using on your patients, what are the expected outcomes?

By |November 9th, 2020|, |

At the present time we can make decisions about treatments based on experiences from large groups of patients with similar conditions.  However, the conclusions we make about the diseases and the treatments from studying the group as a whole do not always precisely apply to individual patients within the group; there is considerable variable [...]

What medical exam can diagnose abnormal intestinal microbiome?

By |November 9th, 2020|, |

Assessing the microbiome is a complex, laboratory-based process. Doctors cannot effectively assess the microbiome by asking the patient questions or by findings on a physical examination.  To effectively assess the intestinal microbiome a stool sample needs to be collected and processed in the laboratory so that the molecular and genetic characteristics of the bacteria [...]

Is there any link between a mother’s use of antibiotics during pregnancy affecting the child’s microbiome?

By |November 9th, 2020|, |

This is a fascinating question and one for which there is accumulating but still minimal information.  There is some evidence that maternal use of antibiotics either before or during pregnancy or at the time of labor might result in changes in the microbiome of the child born to that mother. There have been no [...]

My child has been uveitis free for two years now. She is on methotrexate injections. Is it safe to try methotrexate pills again?

By |November 9th, 2020|, |

Recently, a group of Canadian pediatric rheumatologists, pediatric ophthalmologists and patients and parents have been working together to develop standardized approaches for monitoring and treating children with uveitis associated with JIA .  It was felt important to develop standardized approaches because there is some variability in how children with JIA uveitis are managed. In [...]

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