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A case of unilateral acute hypertensive uveitis in a child

Edoardo Marrani1, Elisabetta Venturini2,3, Gioia Danti4

  • 1Rheumatology Unit, Anna Meyer Children's University Hospital, Florence, Italy.

European Journal of Ophthalmology
|August 29, 2020
PubMed

Insights

This study reports the first case of hypertensive uveitis in a child under 10 years old, presenting with sudden vision loss. The Epstein-Barr virus is explored as a potential infectious trigger for this rare pediatric condition.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Infectious Diseases

Background:

  • Hypertensive uveitis is a rare condition, typically seen in adults.
  • Pediatric cases are exceptionally uncommon, making diagnosis and management challenging.

Observation:

  • A 6-year-old boy presented with acute blurred vision in his left eye.
  • Ophthalmological examination revealed characteristic signs including white endothelial keratic precipitates and elevated intraocular pressure.

Findings:

  • This case represents the first documented instance of hypertensive uveitis in a child younger than 10 years.
  • The study investigates the potential role of Epstein-Barr virus (EBV) as an infectious trigger for this pediatric hypertensive uveitis.

Implications:

  • This case expands the known age spectrum for hypertensive uveitis.
  • Highlights the importance of considering infectious etiologies, such as EBV, in pediatric uveitis.
  • Emphasizes the need for prompt ophthalmological evaluation in children with sudden vision changes.

Keywords:
Anterior uveitisUVEITISanterior segment disease (includes cataract)immunologyinfections/inflammationspediatric ophthalmologyuveitis (pediatric)

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