Nomo AF^1-4*, Koki G^1,2, Aboubakar H¹, Mvilongo TC^1-3, Akono Zoua ME^1-3, Ndjock NJ⁵, Biangoup P², Epée E^1-3 and Bella AL^1-4

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

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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.