Managing the complications of childhood arthritis

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7008.810c (Published 23 September 1995) Cite this as: BMJ 1995;311:810
  1. Taunton Southwood
  1. Senior lecturer in paediatric rheumatology Department of Rheumatology, University of Birmingham, Birmingham B15 2TT

    EDITOR,--I agree with Aideen Landers that the recommendations for ocular slit lamp screening are confusing.1 The most important points to emphasise are that children with juvenile chronic arthritis are at greater risk of developing asymptomatic chronic anterior uveitis than the normal population and that irreversible complications may be prevented if the uveitis is detected early by slit lamp examination and treated effectively. Landers cited the guidelines for slit lamp screening issued by a joint working party of the Royal College of Ophthalmologists and the British Paediatric Association,2 but unfortunately these …

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