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Determination of Unilateral Posterior Uveitis in a Young Suspected Juvenile Idiopathic Arthritic Male | Chapter 04 | New Horizons in Medicine and Medical Research Vol. 6

 The goal of this study was to raise awareness about the significance of regular ophthalmology consultations in instances of JIA, both suspected and confirmed. A 15-year-old girl was sent by the paediatrics department to rule out uveitis in a case of juvenile idiopathic arthritis (JIA). He had no problems with his eyes. Since childhood, the patient has had left eye amblyopia and has worn thick spectacles for the past ten years. There had been no eye trauma, operation, or systemic sickness in the past. In both eyes, the best corrected visual acuity (BCVA) was 6/9 in RE and 6/24 in LE, as measured by Snellen's chart. Color vision and the Amslers grid test were also within normal norms. The anterior portion of the body was inspected and confirmed to be normal. The posterior segment of both eyes indicated myopia, with mild vitreous degeneration in the right eye and vitreous debris, inflammatory debris, perivascular sheathing, and snowbanking in the left eye's superotemporal and inferior quadrants, but no active macular edoema. The patient was given a systemic workup and was started on oral steroids and an immunosuppressant. The asymptomatic aspect of this case, as well as the presenting feature of posterior uveitis and unilateral involvement, emphasise the importance of screening suspected JIA cases for early discovery and therapy of ocular sequelae. Due to the poor prognosis and high prevalence of complications associated with JIA-related uveitis, a high index of suspicion is recommended in these instances.


Author(S) Details

Gandhi Priyanka
Department of Ophthalmology in MGM Institute of Medical Sciences, Navi Mumbai, India.

Hussain Faraaz Syed
MS Ophthalmology in MGM Institute of Medical Sciences, Navi Mumbai, India.

Shah Abha
Department of Ophthalmology in MGM Institute of Medical Sciences, Navi Mumbai, India.

View Book:- https://stm.bookpi.org/NHMMR-V6/article/view/6435


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