Case Of Bilateral Anterior Uveitis Research Articles

A Rare Case of Bilateral Anterior Uveitis Revealing Ocular Toxocarosis

We present a rare case of bilateral anterior uveitis in a 10-year-old patient, which revealed ocular toxocariasis. The patient complained of blurred vision and bilateral eye pain, and clinical examination showed the presence of synechia and incipient cataract. Serological tests confirmed that the patient was indeed infected with Toxocara. Treatment with local corticosteroids and anthelmintics resulted in significant improvement, highlighting the significance of considering toxocariasis in similar cases.

Topiramate-induced Bilateral Anterior Uveitis Associated with Hypopyon Formation

Purpose: To report a rare case of bilateral anterior uveitis with hypopyon formation following systemic topiramate use.Materials and Methods: A 40-year-old woman with migraine headache who was under topiramate treatment referred with bilateral ocular pain and visual blurring. Physical examination disclosed shallow anterior chamber and high intraocular pressure in both eyes. Following discontinuation of topiramate a severe bilateral anterior uveitis with posterior synechiae and hypopyon developed.Results: Ocular inflammation resolved with systemic and topical steroid. Because of severe cataract and synechiae formation she underwent phacoemulsification/posterior chamber intraocular lens implantation and visual acuity of both eyes improved to 20/25.Conclusion: Topiramate should be added to the list of drugs that may cause anterior uveitis and hypopyon formation.

Bilateral Anterior Uveitis Associated with Clomiphene Citrate

Purpose: To report a case of bilateral anterior uveitis associated with ovulation induction therapy using clomiphene citrate. Design: Retrospective case review. Methods: A single patient who developed uveitis while taking clomiphene citrate is described. Results: A 30-year-old woman with polycystic ovary syndrome developed bilateral anterior uveitis during ovulation induction therapy. Results of laboratory studies were normal and the patient was treated with topical therapy. Upon rechallenge with clomiphene 3 months later, she again developed bilateral anterior uveitis. Conclusions: Ovulation induction therapy with clomiphene citrate may precipitate uveitis.

Brimonidine-induced Anterior Uveitis and Conjunctivitis

Brimonidine tartarate is a selective alpha2-adrenergic receptor agonist that is indicated for use in the treatment of glaucoma and ocular hypertension. Since its introduction in 1997 there have been a small number of case reports concerning granulomatous anterior uveitis as a late adverse reaction to long-term brimonidine therapy. We report a case of bilateral anterior uveitis and granulomatous papillary conjunctivitis in a 78-year-old gentleman after 2 years of brimonidine therapy. Cessation of brimonidine lead to rapid termination of uveitis. The histologic features of the conjunctiva are described. This has not been previously reported.