DR. VINEET SHAH

Dr. LEKHA T., Dr.A. GIRIDHAR, DR. KINJAL SHAH

Abstract

37-year male presented with recurrent anterior uveitis for 8 months. He was treated elsewhere with topical and systemic steroids with recurrence on stopping treatment. History of oral ulcer was present. Left eye (LE) revealed acute anterior uveitis and cystoid macular edema(CME). Right eye was normal. ANA, Mantoux, RA factor, VDRL and pathergy test were negative. LE ultra-wide field Fundus fluorescein angiography(UW FFA) showed capillaritis,CME and disc leak. A suspicion of Behcet’s disease was made and rheumatology opinion was taken. All autoimmune markers were negative except HLA B51, supporting the suspicion of Ocular Behcet’s. Following treatment with systemic steroids and immunosuppressives, resolution of anterior uveitis and CME was seen. This case highlights the role of UW FFA in breaking the diagnostic dilemma in subclinical retinal vasculitis. This was in accordance with the study by Jones et al showing the superiority of UW FFA in the identification of significant vasculitis.