Dr. Foster,
Thank you so much for the continued assistance with 5-year-old Gabrielle's JIA-related iritis.
I have witnessed, heard, and read about not dilating the pupil before looking for white blood cells in the anterior chamber. I cannot find, however, clear direction on whether this applies to all children with JIA or just ones who have been previously diagnosed with iritis.
Per some other parents, it seems a percentage of standard uveitis screening for JIA kids is occurring with dilation at each exam, each time, without observing the anterior chamber prior to dilation.
Specifically related to children diagnosed with JIA:
1 - What is the standard procedure for slit lamp exams during regularly scheduled uveitis screenings for a child who has never been diagnosed with uveitis?
2 - Does the procedure change after a child is diagnosed with uveitis?
3 - What are the exact reasons that "...assessment of anterior chamber cells and flare should be accomplished prior to dilation?"
Thanks again,
Steve
Thank you so much for the continued assistance with 5-year-old Gabrielle's JIA-related iritis.
I have witnessed, heard, and read about not dilating the pupil before looking for white blood cells in the anterior chamber. I cannot find, however, clear direction on whether this applies to all children with JIA or just ones who have been previously diagnosed with iritis.
Per some other parents, it seems a percentage of standard uveitis screening for JIA kids is occurring with dilation at each exam, each time, without observing the anterior chamber prior to dilation.
Specifically related to children diagnosed with JIA:
1 - What is the standard procedure for slit lamp exams during regularly scheduled uveitis screenings for a child who has never been diagnosed with uveitis?
2 - Does the procedure change after a child is diagnosed with uveitis?
3 - What are the exact reasons that "...assessment of anterior chamber cells and flare should be accomplished prior to dilation?"
Thanks again,
Steve
