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Acute Uveitis following COVID-19 Vaccination
Reem H ElSheikh1, Abid Haseeb2, Taher K Eleiwa3
1Department of Ophthalmology, Cairo University Hospitals, Cairo, Egypt.
Ocular Immunology and Inflammation
|August 11, 2021
Summary
A case report details juvenile idiopathic arthritis-associated anterior uveitis following the Sinopharm COVID-19 vaccine. This finding suggests a potential link between the vaccine and the onset of ocular inflammation in susceptible individuals.
Area of Science:
- Ophthalmology
- Rheumatology
- Vaccinology
Background:
- Juvenile idiopathic arthritis (JIA) is a chronic autoimmune condition that can affect various joints.
- Anterior uveitis is a common ocular complication associated with JIA, potentially leading to vision impairment.
- The Sinopharm COVID-19 vaccine is an inactivated virus vaccine used globally.
Observation:
- An 18-year-old female with a history of antinuclear antibody-positive oligoarticular JIA developed bilateral anterior uveitis.
- Symptoms appeared five days after receiving the second dose of the Sinopharm COVID-19 vaccine.
- Anterior segment optical coherence tomography revealed characteristic findings of circulating inflammatory cells in the anterior chamber.
Findings:
- The patient presented with bilateral anterior uveitis, characterized by reduced visual acuity.
- Anterior segment OCT confirmed inflammatory cells within the anterior chamber.
- Ocular inflammation resolved with topical corticosteroid therapy, showing no recurrence.
Implications:
- This case suggests a potential association between the Sinopharm COVID-19 vaccine and the development of anterior uveitis in patients with JIA.
- Further research is warranted to investigate the immunogenic mechanisms and establish causality.
- Monitoring for ocular side effects in JIA patients post-vaccination may be beneficial.
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