Recurrent Bilateral Retinal Vasculitis as a Manifestation of Post-streptococcal Uveitis Syndrome.
10.3341/kjo.2012.26.4.309
- Author:
Jinu HAN
1
;
Sung Chul LEE
;
Won Kyung SONG
Author Information
1. Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Reports
- Keywords:
Antistreptolysin;
Streptococcus;
Uveitis;
Vasculitis
- MeSH:
Adolescent;
Diagnosis, Differential;
Female;
Humans;
Recurrence;
Retinal Vasculitis/drug therapy/*microbiology;
Steroids/therapeutic use;
Streptococcal Infections/*diagnosis;
Uveitis/drug therapy/*microbiology;
Visual Acuity
- From:Korean Journal of Ophthalmology
2012;26(4):309-311
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of post-streptococcal uveitis mainly presenting with bilateral recurrent retinal vasculitis in Korea. A 14-year-old Asian female presented with decreased visual acuity of 20 / 30 in the right eye and 20 / 25 in the left eye. The patient had a history of glomerulonephritis nine months before onset of uveitis. The manifestation of uveitis was predominantly retinal vasculitis. We presumed post-streptococcal uveitis because probable streptococcal infection was confirmed by anti-streptolysin O titer elevation. With topical and oral steroid treatments, the patient experienced complete vision recovery. Post-streptococcal uveitis occurs rarely and mostly involves young patients in the form of non-granulomatous anterior uveitis. However, as this case shows, it may primarily involve the posterior uvea without anterior inflammation and may recur.
