Search

Purpose To describe the clinical features in a series of patients with poststreptococcal uveitis and to review literature on the pathophysiology and management. Design Retrospective and descriptive case series. Participants Ten consecutive cases of poststreptococcal syndrome uveitis diagnosed between 1996 and 2003. Methods Review of patient case notes. Main Outcome Measures Age, laterality, clinical features, and anti-streptococcal lysin O titers. Results Ten consecutive cases of poststreptococcal syndrome uveitis were identified. All our cases had bilateral nongranulomatous inflammation and raised anti-streptococcal lysin O titers. Collating data from previous reports and this series showed that 96% of the patients were below 40 years of age, and 87.5% had evidence of previous streptococcal infection. One third of the patients had posterior segment involvement. In our patients, this was in the form of vitritis, focal retinitis, optic disc swelling, and multifocal choroiditis. Conclusions Poststreptococcal syndrome uveitis should be considered in the etiology of acute bilateral nongranulomatous uveitis in children and young patients.

Uveal effusion syndrome is characterized by annular ciliochoroidal detachment, shifting non-rhegmatogenous retinal detachment, unremarkable inflammation in the anterior eye segment and normal intraocular pressure. A 36-year-old Caucasian hypermetropic male presented in the eye casualty with a week history of curtain like effect in front of his left eye associated with worsening of vision and flashing lights. Left fundus examination revealed retinal detachment with smooth shaped elevation superonasaly and detached retina inferiorly confirmed on ultrasound B-scan with no tobacco dust in the anterior vitreous. Diagnosis of uveal effusion syndrome was made. Lamellar sclerectomies in the two quadrants were performed. Fourteen months postoperatively, the left eye choroidal effusion gradually settled down and at 18 months the retina flattened. Early diagnosis, close follow-up, and appropriate management are mandatory to improve or maintain visual function in such patients.

To describe the clinical features in a series of patients with poststreptococcal uveitis and to review literature on the pathophysiology and management.Retrospective and descriptive case series.Ten consecutive cases of poststreptococcal syndrome uveitis diagnosed between 1996 and 2003.Review of patient case notes.Age, laterality, clinical features, and anti-streptococcal lysin O titers.Ten consecutive cases of poststreptococcal syndrome uveitis were identified. All our cases had bilateral nongranulomatous inflammation and raised anti-streptococcal lysin O titers. Collating data from previous reports and this series showed that 96% of the patients were below 40 years of age, and 87.5% had evidence of previous streptococcal infection. One third of the patients had posterior segment involvement. In our patients, this was in the form of vitritis, focal retinitis, optic disc swelling, and multifocal choroiditis.Poststreptococcal syndrome uveitis should be considered in the etiology of acute bilateral nongranulomatous uveitis in children and young patients.