Regular eye exams for juvenile idiopathic arthritis (JIA)

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If you have JIA, regular eye exams are very important for detecting early signs of eye inflammation. Learn what happens during an eye exam.

Key points

  • Eye exams are important as eye inflammation (uveitis) usually occurs without any eye symptoms until it is too late.
  • Eye inflammation can lead to cataracts and glaucoma.
  • Various, painless tests will be conducted during the eye exam.

Regular eye exams for JIA are important as many children and teens with JIA are at risk for uveitis, which can lead to other eye conditions such as cataracts or glaucoma.

Why are eye exams important?

Eye inflammation​ is called iritis or uveitis. It is another key feature of JIA. There is a high risk (approximately 20%) of eye inflammation among young people with oligoarticular JIA. The risk is highest among young girls who test positive on a blood test called an antinuclear antibody (ANA). However, eye inflammation can still occur in other types of JIA and in those who test negative for ANA.

Most importantly, eye inflammation usually occurs without any eye symptoms until it is too late. Eye inflammation can lead to other eye conditions such as cataracts or glaucoma. A cataract is when the lens of the eye becomes cloudy. Glaucoma is high pressure in the eye, and it also has no early symptoms.

This is why having regular eye exams with an eye doctor is important if you have JIA.

How are eye exams done?

First, someone will test your vision.

Next, your eye doctor might put numbing drops in your eyes followed by some other drops. These drops will temporarily dilate the pupils of your eyes, which means they will make your pupils larger. It will take 20 to 40 minutes for the drops to take effect, at which time your vision will be quite blurry and sensitive to light. These drops will give your eye doctor a clear view of the inside of your eye.

Another part of the eye exam is called a slit lamp exam. Your eye doctor will use a machine called a slit lamp to look at the front parts of your eye. The slit-lamp is a type of microscope. It gives off a blue light. It allows your eye doctor to see any inflammation cells floating in your eye.

The slit lamp can also help your doctor find other complications such as cataracts or glaucoma. If you are being tested for glaucoma, you will receive another set of eye drops that allows the eye doctor to test the pressure in your eye.

Other methods to check eye pressure include a machine that squeezes a puff of air into your eye or using a small hand-held device that looks like a pen, which gently touches the eye. These are painless tests due to the numbing drops you will have already received.

The entire eye exam is completely painless. Once your exam is over, you can go home, but you will still have large pupils and blurry vision from the drops. You may also be sensitive to bright light due to the enlargement of your pupils. The blurry vision will last six or more hours. The effect on your pupil will last about 24 hours. If you bring sunglasses with you to your appointment, they will come in handy when you go home.

The recommended frequency of eye checkups will be based on the type of JIA you have, how long you have had JIA and the presence or absence of autoantibodies.

Last updated: January 31st 2017