ABSTRACT
PURPOSE: To report a case of tubulointerstitial nephritis and uveitis syndrome (TINU) with novel posterior segment features of bilateral vitritis and retinal pigment epithelial detachments. METHODS: This is an interventional case report with fundus photographs and fluorescein angiograms of a 9-year-old girl presenting with bilateral acute anterior uveitis 4 months after a diagnosis of acute tubulointerstitial nephritis. RESULTS: Visual acuities remained normal throughout the 6-month period of follow-up. The anterior and posterior uveitis settled, although retinal pigment epithelial detachments persisted and may be related to the underlying disease process in TINU or exogenous steroid treatment, or both. CONCLUSIONS: The idiopathic inflammatory response seen in TINU is traditionally associated with an anterior uveitis. This case demonstrates that there may be more extensive ocular involvement and that posterior uveitis and retinal pigment epithelial detachments may represent emerging features of atypical cases of TINU.
Subject(s)
Nephritis, Interstitial/complications , Retinal Detachment/etiology , Uveitis/complications , Administration, Oral , Administration, Topical , Anti-Inflammatory Agents/administration & dosage , Child , Dexamethasone/administration & dosage , Disease Progression , Female , Fluorescein Angiography , Humans , Nephritis, Interstitial/diagnosis , Nephritis, Interstitial/drug therapy , Prednisolone/administration & dosage , Retinal Detachment/diagnosis , Retinal Detachment/drug therapy , Syndrome , Uveitis/diagnosis , Uveitis/drug therapy , Visual AcuityABSTRACT
Purpose. To report patent foramen ovale (PFO) as the cause of retinal artery occlusion in a young and previously fit male and discuss the appropriate medical and surgical management options. Methods. Interventional case report with serial fundus photographs of an 18-year-old male presenting to the eye casualty with sudden onset left visual loss. Results. Visual acuities were 6/24 left and 6/4 right with a left afferent pupillary defect. Slitlamp examination confirmed a left hemiretinal artery occlusion and subsequent cardiology review with transoesophageal echocardiography revealed patent foramen ovale which was closed surgically. Conclusions. PFO is not uncommon and is often covert but predisposes individuals to embolic events. These events may be ophthalmic with visual sequelae and so ophthalmologists, physicians, and other healthcare personnel should be aware of this important and emerging association.
ABSTRACT
PURPOSE: To report the presentation and management of an atypical and advanced case of hidrocystoma of the eyelids with associated functional complications. METHODS: Interventional case report with clinical photographs at presentation, intra-operative photographs, and histology. RESULTS: A 55-year-old lady who presented with massive upper and lower eyelid swellings causing mechanical ptosis and epiphora, respectively, was managed by surgical excision of the lesions. Histology confirmed eccrine hidrocystoma. CONCLUSIONS: Eccrine hidrocystoma should be considered in the differential diagnosis of adnexal masses and such lesions may cause significant functional and cosmetic morbidity despite their histologically benign nature.
