Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 6 Issue 3

Case Report: Bilateral Acute Anterior Uveitis with Hypopion in Children: About One Case at Yaounde Application and Reference of the Armed Forces Hospital

Nomo AF1-4*, Koki G1,2, Aboubakar H1, Mvilongo TC1-3, Akono Zoua ME1-3, Ndjock NJ5, Biangoup P2, Epée E1-3 and Bella AL1-4

1Faculty of Medicine and Biomedical Sciences of Yaoundé, Cameroon
2Application and Referral Instruction Hospital of the Armies of Douala, Cameroon
3Yaoundé Central Hospital, Cameroon
4Yaoundé Gynaeco Obstetric and Paediatric Hospital, Cameroon
5Douala General Hospital, Cameroon

*Corresponding Author: Nomo AF, Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Faculty of Medicine and Biomedical Sciences of the University of Yaoundé I, Yaoundé, Cameroon.

Received: December 24, 2021; Published: February 11, 2022

Abstract

Introduction: Uveitis is defined as inflammation of the uveal tract which includes iris, ciliary body, and choroid. the presentation of uveitis in children is often "silent", with few warning signs, and few functional complaints on the part of the children, frequently leading to significant diagnostic delays causing poor vision or even blindness We report a case of recurrent bilateral acute anterior uveitis with hypopion in a young boy of 11-year-old that posing a problem of etiological diagnosis.

Medical Observation: The patient consulted for a reduced in bilateral visual acuity which had progressed for 5 days. He reported three past episodes of bilateral acute hypopion anterior uveitis separated by approximately 8 months each. On ophthalmologic examination far visual acuity was 4/10 in both eyes, mild conjunctival hyperemia, ciliary injection with fine retrodeskemetic precipitates not granulomatous, a hypopion and 3+ Tyndall in anterior chamber in both eyes. Intraocular pressure was normal (07 mmHg) in both eyes. After dilation, there was 2+ anterior hyalitis but the rest of the fundus was normal. The diagnosis of recurrent bilateral acute anterior uveitis with hypopion non-granulomatous and non-hypertensive was made. An aetiological assessment included infectious assessment and dosage of HLA B27 was done. No aetiology was found in this patient. Most uveitis in children are idiopathic but Juvenile idiopathic arthritis has been described as the primary aetiology of anterior uveitis in children.. The management of uveitis consisted of local and general steroidal anti-inflammatory drugs and cycloplegics. After a follow-up of six months, the evolution was favorable.

Conclusion: Uveitis are rare pathologies in children but not diagnosed and untreated, can cause serious sequelae such as blindness.

Keywords: Acute Anterior Uveitis; Hypopion

References

  1. Janine A, Smith., et al. "Epidemiology and Course of Disease in Childhood Uveitis". Ophthalmology 8 (2009): 1544-1551.e1.
  2. Emmett TC Cunningham. “Uveitis in children”. Ocular Immunology and Inflammation 4 (2000): 251-261.
  3. Assumpta Bella-Hiag., et al. “Les uvéites: aspects épidémiologiques à l’hôpital Laquintinie de Douala”. Ophthalmologica 1 (2001): 30‑33.
  4. Fujikawa Satoshi and Tomoko Suemitsu. “Behcet disease in children: A nationwide retrospective survey in Japan”. Acta Paediatrica Japonica 39 (1997): 285-289.
  5. Khalil S Assaad., et al. “Childhood uveitis, about 33 cases”. Journal Français d'Ophtalmologie3 (2016): e53-e82.
  6. Saadouli Dorsaf., et al. “Uveitis in children: about 38 cases”. Therapeutic Medicine/Pediatrics1 (2021): 70-76.
  7. Jean Deschenes., et al. "International Uveitis Study Group (IUSG) Clinical Classification of Uveitis". Ocular Immunology and Inflammation1-2 (2008): 12.
  8. Chebil A., et al. "Epidemiological study of uveitis in children: about 49 cases". French Journal of Ophthalmology 35 (2012): 30-34.
  9. Job-Deslandre C. “Juvenile idiopathic arthritis”. Musculoskeletal System (2007).
  10. Laghmari, M., et al. "Childhood uveitis". French Journal of Ophthalmology6 (2003): 553.

Citation

Citation: Nomo AF., et al. “Case Report: Bilateral Acute Anterior Uveitis with Hypopion in Children: About One Case at Yaounde Application and Reference of the Armed Forces Hospital”.Acta Scientific Medical Sciences 6.3 (2022): 52-55.

Copyright

Copyright: © 2022 Nomo AF., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US