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Table 1 Standardised Uveitis Nomenclature (SUN) Disease activity grading schemes and Multinational Interdisciplinary Working Group for Uveitis in Childhood (MIGWUC) outcome parameters [11, 12]

From: Under-utilisation of reproducible, child appropriate or patient reported outcome measures in childhood uveitis interventional research

SUN Grades (2005)

 Anterior chamber cells

Non-linear ordinal scale: 0 (no cells in examined field), 0.5+ (1–5 cells), 1+ (6–15), 2+ (16–25), 3+ (26–50), 4+ (> 50 cells in examined field)

 Anterior chamber flare

Non-linear ordinal scale from 0 (no clouding of view of anterior structures) to 4+ (intense fibrin deposition in anterior chamber)

 Vitreous haze

Non-linear ordinal scale from 0 (no clouding of view through vitreous) to 4 (unable to see through vitreous gel)

MIGWUC outcome domains (2012)

 Grade of activity in anterior chamber

Slit lamp exam (subjective measure of cells and flare) and laser photometry (objective measure of flare), and number of visits with active uveitis

 Visual acuity

Appropriate for age at testing

 Development of structural complications

Slit lamp examination for anterior structural complications

Presence of high eye pressure or glaucoma (diagnostic protocol not clear)

Slit lamp examination or imaging for posterior structural complications

 Quality of life

Child Health Assessment Questionnaire a ; Child Health Questionnaire a

Pediatric Quality of life Inventory; Uveitis-specific quality of life instrumentb

 Overall uveitis related disability

Visual analog scale scoring undertaken by child, family, ophthalmologist or rheumatologist

 Social outcome

School absence

 Anti-inflammatory medication

Reduction in corticosteroid use

 Surgery

Yes / no

 Biomarkers

Research tools

  1. aCHAQ and CHQ are functional assessments rather than quality of life metrics
  2. bAs yet, there is no validated instrument