ABSTRACT
Without appropriate treatment, Group A streptococcal infections can lead to post-streptococcal syndrome, including post-streptococcal uveitis. This should be kept in mind in young patients with acute bilateral non-granulomatous anterior uveitis, in order to avoid ocular and systemic complications. We report two cases of bilateral post-streptococcal anterior uveitis, in young men, of respectively 20 and 16 years old, that presented to Jules Gonin Eye Hospital.
Subject(s)
Anti-Bacterial Agents/administration & dosage , Streptococcal Infections/diagnosis , Streptococcal Infections/drug therapy , Uveitis, Suppurative/diagnosis , Uveitis, Suppurative/drug therapy , Administration, Ophthalmic , Adolescent , Diagnosis, Differential , Humans , Male , Rare Diseases/diagnosis , Rare Diseases/drug therapy , Rare Diseases/microbiology , Streptococcal Infections/microbiology , Treatment Outcome , Uveitis, Suppurative/microbiologySubject(s)
Eye Infections, Bacterial/diagnosis , Lyme Disease/diagnosis , Macular Edema/diagnosis , Uveitis, Suppurative/diagnosis , Vision Disorders/diagnosis , Adult , Diagnosis, Differential , Eye Infections, Bacterial/complications , Eye Infections, Bacterial/therapy , Female , Humans , Lyme Disease/complications , Lyme Disease/therapy , Macular Edema/complications , Macular Edema/therapy , Treatment Outcome , Uveitis, Suppurative/complications , Uveitis, Suppurative/therapy , Vision Disorders/etiology , Vision Disorders/prevention & controlSubject(s)
Emulsions/adverse effects , Endotamponade , Retinal Diseases/diagnosis , Silicone Oils/adverse effects , Uveitis, Suppurative/diagnosis , Aged, 80 and over , Cryotherapy , Humans , Male , Retinal Detachment/surgery , Retinal Diseases/etiology , Retinal Perforations/surgery , Scleral Buckling , Tomography, Optical Coherence , Uveitis, Suppurative/etiology , Visual Acuity , VitrectomySubject(s)
Eye Diseases/diagnosis , Retinoblastoma/diagnosis , Tuberculosis, Pulmonary/diagnosis , Uveitis, Suppurative/diagnosis , Diagnosis, Differential , Female , Humans , Infant , Male , Maternal Exposure , Pregnancy , Pregnancy Complications, Infectious , Tomography, X-Ray Computed/methods , Tuberculosis, Pulmonary/congenitalABSTRACT
PURPOSE: To report a case of hypopyon uveitis associated with systemic lupus erythematosus and antiphospholipid antibody syndrome. METHODS: Interventional case report: a 49-year-old woman with a history of systemic lupus erythematosus and antiphospholipid antibody syndrome presented with sudden onset of pain, redness, photophobia, and decreased vision in the left eye. Examination revealed hypopyon uveitis and vaso-occlusive retinopathy. RESULTS: Following treatment with intravenous steroids and cyclophosphamide, the patient's vision improved from CF to 20/80 with no inflammation 6 months following initial presentation. CONCLUSIONS: In this case, systemic lupus and antiphospholipid syndrome were associated with hypopyon uveitis. Prompt treatment with systemic immunosuppressive therapy resulted in improvement in the hypopyon uveitis and vaso-occlusive retinopathy.
Subject(s)
Antiphospholipid Syndrome/complications , Lupus Erythematosus, Systemic/complications , Uveitis, Suppurative/etiology , Antiphospholipid Syndrome/diagnosis , Antiphospholipid Syndrome/drug therapy , Cyclophosphamide/therapeutic use , Drug Therapy, Combination , Female , Fluorescein Angiography , Glucocorticoids/therapeutic use , Humans , Immunosuppressive Agents/therapeutic use , Lupus Erythematosus, Systemic/diagnosis , Lupus Erythematosus, Systemic/drug therapy , Middle Aged , Retinal Artery Occlusion/diagnosis , Retinal Artery Occlusion/drug therapy , Retinal Artery Occlusion/etiology , Retinal Vein Occlusion/diagnosis , Retinal Vein Occlusion/drug therapy , Retinal Vein Occlusion/etiology , Uveitis, Suppurative/diagnosis , Uveitis, Suppurative/drug therapy , Vision Disorders/etiology , Visual AcuityABSTRACT
Hypopyon uveitis has inflammatory, infective, and neoplastic causes and a high association with systemic disease. Careful questioning of the patient and detailed examination of the eye for other signs is necessary to guide the differential diagnosis and relevant investigations. Because the underlying causes require very different types of investigation and, if missed, can have serious sequelae for the patient, a rational approach based on the understanding of the causes of hypopyon uveitis is imperative. In this review, hypopyon uveitis is considered in the context of the associated ocular and systemic diseases that cause it.
Subject(s)
Uveitis, Suppurative , Anterior Chamber/pathology , Behcet Syndrome/complications , Endophthalmitis/complications , HLA-B27 Antigen/analysis , Humans , Uveitis, Suppurative/complications , Uveitis, Suppurative/diagnosis , Uveitis, Suppurative/therapyABSTRACT
AIM: To evaluate the diagnostic value of the polymerase chain reaction (PCR) to detect Borrelia burgdorferi DNA in patients with ocular Lyme borreliosis. METHODS: Of 256 consecutive uveitis patients six selected individuals with clinical evidence for Lyme borreliosis and 30 patients with non-Lyme uveitis were enrolled. Lyme serology was performed by ELISA and western blotting. Urine samples were examined by an optimised nested polymerase chain reaction (PCR) protocol. RESULTS: Only four of six uveitis patients suspected for Lyme borreliosis were ELISA positive, while all six subjects showed a positive western blot. B burgdorferi PCR was positive in all of these six patients. Whereas two of the 30 controls had a positive Lyme serology, B burgdorferi DNA was not detectable by PCR in any sample from these patients. CONCLUSIONS: PCR for the detection of B burgdorferi DNA in urine of uveitis patients is a valuable tool to support the diagnosis of ocular Lyme borreliosis. Moreover, these patients often show a weak humoral immune response which may more sensitively be detected by immunoblotting.
Subject(s)
Borrelia burgdorferi Group/isolation & purification , DNA, Bacterial/urine , Lyme Disease/diagnosis , Uveitis, Suppurative/diagnosis , Adult , Aged , Blotting, Western , Case-Control Studies , Enzyme-Linked Immunosorbent Assay , Female , Humans , Lyme Disease/complications , Lyme Disease/urine , Male , Middle Aged , Polymerase Chain Reaction , Sensitivity and Specificity , Uveitis, Suppurative/urineABSTRACT
We report a case of diffuse retinoblastoma in a 6 years old boy. The diagnosis should be suspected in front of the very evocative clinical picture itself. The aspect of the tyndall phenomenon, and of the convex pseudo-hypopyon, with iris pearls and nodules, together with a peripheral, imprecisely limited, retinal mass, non calcified on ultrasonographic examination, are typical. Aqueous paracentesis shows increased levels of Lactic Dehydrogenase (LDH), but most of all the cytologic examination confirms the diagnosis. The only treatment is enucleation. The clinical picture which may simulate uveitis, especially as this particular type of retinoblastoma has a late onset.
