DR. AYUSHI CHOUDHARY

DR. MAMTA AGRAWAL, DR. SYED FARAAZ HUSSAIN, DR. PRIYANKA GANDHI

Abstract

A 15 y/M was referred to r/o uveitis in suspected case of Juvenile Rheumatoid arthritis. He had no ocular complaints. H/O using thick glass spectacle for 10 years with left eye being weaker. No H/O ocular trauma, procedure or systemic illness. BCVA was 6/9 in RE and 6/24 in LE, color vision and Amsler’s grid test was normal in BE. On examination, anterior segment was normal. Posterior segment showed myopic changes in BE with mild vitreous degeneration in RE and vitreous debris, inflammatory debris in the superotemporal quadrant, perivascular sheathing and snowbanking in superotemporal and inferior quadrant in LE with no active macular edema. Systemic workup was done and the patient was started on oral steroids and immunosuppressant. With treatment LE BCVA improved to 6/18. JIA-associated uveitis rarely presents with complaints. While JIA associated anterior uveitis is common, posterior uveitis is rare hence high degree of suspicion and long-term follow-up should be the norm