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Case Studies | Ophthalmology | India | Volume 12 Issue 2, February 2023
Recurrent Anterior Uveitis, Associated with Axial Spondyloarthritis - A Case Report
Samadrita Paul Choudhury | Gariyashee Lahkar [3]
Abstract: A 35 year-old female presented with pain and diminution of vision in right eye for 2 weeks and 6 months respectively. Pain was insidious in onset, associated with redness, photophobia and watering. Several past episodes were reported in both the eyes, with last attack affecting the right eye, 3 months back. Patient also gave history of gradually progressive low backache with stiffening and limited spine movements since the last 10 years. Ocular examination revealed mild haziness of cornea, iris pigments over the anterior lens capsule and corneal endothelium, flare (1+), aqueous cells (grading +2 to +3), a fixed, dilated and non-reacting pupil with raised IOP in the right eye. BCVA was found to be PL- (OD) and 6/24 (OS). Fundus examination revealed pale optic disc in the right side. On systemic examination, kyphosis with limited neck and spine movement was found along with spinal deformity. Blood tests showed raised ESR and CRP with HLA-B27 positivity. X-ray findings revealed multiple abnormalities like kyphosis, loss of lumbar lordosis, multiple disc lesions and degenerative changes. Following orthopedic consultation, she was diagnosed to be a case of axial spondyloarthritis (SpA). Acute anterior uveitis of the right eye was treated conservatively, following which she showed marked improvement of symptoms.
Keywords: acute anterior uveitis, axial spondyloarthritis, uveitic glaucoma, HLA-B27
Edition: Volume 12 Issue 2, February 2023,
Pages: 1488 - 1490