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Rubella-related intermediate uveitis in pregnancy--a rare presentation
Annamalai Thirupathy1, Iqbal Tajunisah
1Department of Ophthalmology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Ocular Immunology and Inflammation
|May 21, 2011
Summary
This case report highlights a rare instance of intermediate uveitis in a pregnant woman due to rubella infection. Early recognition and treatment led to vision improvement and a healthy fetus.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Maternal-Fetal Medicine
Background:
- Rubella infection during pregnancy can lead to various complications.
- Intermediate uveitis is an inflammatory eye condition affecting the vitreous and ciliary body.
- Ocular manifestations of maternal infections require careful consideration.
Observation:
- A 35-year-old pregnant woman presented with acute vision blurring and floaters in her left eye at 24 weeks gestation.
- Ocular examination revealed vitritis without retinal involvement.
- High rubella IgG titers confirmed recent infection.
Findings:
- Treatment with periocular corticosteroids resulted in significant visual improvement and resolution of vitritis within 3 weeks.
- Rubella IgG titers decreased substantially post-treatment.
- Fetal well-being was unaffected, confirmed by obstetric evaluation.
Implications:
- Rubella-associated intermediate uveitis is an uncommon but treatable complication during pregnancy.
- Prompt investigation for rubella is crucial in pregnant patients with unexplained visual disturbances.
- Early diagnosis and management can prevent severe ocular complications and ensure a positive maternal-fetal outcome.
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