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TitelIsolated anterior uveitis with disk oedema, what to do?
DoelTo report isolated disk oedema in anterior uveitis and its spontaneous resolution after topical treatment.
MethodesA case report of a 10-year-old boy.
ResultatenThe clinical workup revealed a unilateral non granulomatous anterior uveitis with homolateral optic disk oedema and macular folds. There were no other signs of posterior segment inflammation and the optic nerve function was intact. Laboratory testing and thorough pediatric examination were normal. With topical corticoid therapy the anterior uveitis resolved in 2 weeks and the optic disk oedema disappeared 8 weeks later. Because of sudden retrobulbar pain on the left side 3 weeks after resolution of the disk oedema, we performed a MRI of the brain and orbits, which appeared to be normal.
ConclusieOptic disk oedema, without other manifestations of posterior uveitis, associated with non granulomatous anterior uveitis is a rare clinical finding.
Such optic disk swelling does not require specific treatment or further investigation if vision and pupillary function are normal. The oedema will normally resolve by topical treatment of the anterior uveitis, with a medium delay of 6 weeks. However, development of neurological problems or failure of the disk oedema to resolve warrants further investigation.
Auteur 1
NaamSCHAEKEN
InitialenN
InstituutDepartement of Ophtalmology, University Hospital Brussels
StadBrussels
Auteur 2
NaamDECONINCK
InitialenH
InstituutDepartement of Ophtalmology, University Hospital Brussels
StadBrussels
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