ArticleJapanese journal of ophthalmology2019
Management of presumed trematode induced granulomatous uveitis in pediatric patients.
Article in Japanese journal of ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06260449 (Different Treatment Approaches of Presumed Trematode-Induced Uveitis), which is not on this map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Different Treatment Approaches of Presumed Trematode-Induced Uveitis
Who cites it
4 citing papers in PubMed, 14 citations in OpenAlex.
- Aetiopathogenesis, clinico-epidemiological and diagnostic aspects of human ocular trematode infections: a scoping review protocol.BMJ open · 2025Article
- Management of presumed trematode-induced granulomatous intermediate uveitis.Eye (London, England) · 2023Article
- Surgical outcomes of complicated cataract with pediatric trematode granulomatous uveitis.International journal of ophthalmology · 2023Article
- Argon laser photocoagulation for treatment of presumed trematode-induced granulomatous anterior uveitis in children.The British journal of ophthalmology · 2022Article
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo outline the management of newly identified trematode induced uveitis in pediatric patients STUDY
designProspective interventional case series
methodsPatients with distinctive uveitis were recruited to either receive steroid monotherapy or undergo surgical excision of the inflammatory lesions based on a scoring system. Outcome measures included best corrected visual acuity (BCVA), intraocular inflammatory activity, and incidence of ophthalmic complications
results170 patients (174 eyes) were recruited. Mean age was 11.1 years. Mean initial decimal BCVA (± SD) was 0.58 (± 0.31). Of 116 eyes with disease scores <5, 109 were treated effectively with steroids (93.97%). Surgical excision was offered to 58 patients and proved curative in the treated eyes. Protracted inflammation with persistence of the granulomas was noted in 5 patients refusing surgery. Mean follow up period was 21.5 months. Mean final BCVA was 0.69 (±0.27). A significant change in BCVA was noted (p=0.002). There has not been a need for retreatment in any of the study patients, who were also given instructions on evading exposure to fresh water habitats. Larger lesions, mixed disease morphology, older age at presentation were associated with higher rates of ophthalmic complications and vision loss
conclusionA novel waterborne trematode inducing uveitis has been identified in Egypt. A favorable response to steroid monotherapy is demonstrated in low grade disease, while surgical excision was found to be curative in patients with larger lesions or those showing suboptimal response to medical treatment.
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