In Juvenile Idiopathic Arthritis, what health maintenance is suggested?

• A. Annual XRAYS
• B. Annual joint MRI
• C. Annual CXR
• D. Annual eye exam

Answer: (D)

Regular ophthalmologic screening is essential because Juvenile Idiopathic Arthritis carries a risk of anterior uveitis that often has no symptoms but can cause serious eye damage if not detected early. An annual dilated eye exam (usually with slit-lamp evaluation) helps catch inflammation before it affects vision, guiding timely treatment to prevent complications like cataracts, glaucoma, or visual impairment. This risk is higher in certain JIA subtypes and in ANA-positive patients, so exams may be more frequent depending on risk factors, but at minimum, annual eye checks are recommended. Routine annual imaging of joints or chest is not a standard health maintenance in the absence of symptoms, since imaging is reserved for evaluating specific problems rather than routine screening.