Subina Timila*, Alisha Regmi, Anup Subedi and Hara Maya Gurung

Department of Optometry, Pokhara University, Himalaya Eye Institute, Nepal

*Corresponding Author: Subina Timila, Department of Optometry, Pokhara University, Himalaya Eye Institute, Nepal.

Received: May 08, 2024; Published: June 18, 2024

Abstract

A mid-twenties male experienced redness and decreased vision in his left eye. He was admitted to the hospital with normal intraocular pressure in both eyes and ocular structures in his right eye whereas, in his left eye, the lid was edematous, hyperemic conjunctiva, muddy iris, and sluggishly reactive pupil with visual acuity of 6/24. Ultrasonography revealed anterior vitreous exudates. The patient was diagnosed with SHAPU in Left Eye. The patient underwent an anterior chamber wash, intracameral antibiotics, and intravitreal antibiotics under local anesthesia, and was admitted to the hospital for 7 days. On the seventh day, the vision improved to 6/12P in LE. The patient was discharged, prescribed medications, and asked to follow up in one month. After a month, the LE showed a completely restored vision, with normal ocular structures in the RE.

Keywords: Seasonal Hyperacute Pan Uveitis; Visual Prognosis; AC Wash; Intracameral Antibiotics; Intravitreal Antibiotics; Vitreous Exudates

References

1. Malla   “Endophthalmitis probably caused  by  Tussock moth”. Proceedings first  National  Seminar on  Prevention  of Blindness 44 (1978).
2. Upadhyay M P., et al. “Seasonal hyperacute panuveitis of unknown etiology”. Annals of Ophthalmology 1 (1984): 38-44.
3. Manandhar Anu. “Seasonal hyperacute panuveitis: an update”. Current Opinion in Ophthalmology 6 (2011): 496-501.
4. Upadhyay Madan Prasad., et al. “The Risk Factors of Seasonal Hyperacute Panuveitis”. Ophthalmic Epidemiology 3 (2021): 250-257.
5. Gurung, Haramaya., et al. “Sporadic summer outbreak of SHAPU in even years: Does the pattern match with the usual autumn outbreak?”. American Journal of Ophthalmology Case Reports 24(2021): 101198.
6. Gurung, Haramaya., et al. “Seasonal Hyperacute Panuveitis (SHAPU) Outbreak Amidst COVID-19 Pandemic”. Ocular Immunology and Inflammation 1-5(2023): 12.
7. Shrestha E. “A profile and treatment outcome of seasonal hyper-acute panuveitis”. Nepalese Journal of Ophthalmology : A Biannual Peer-Reviewed Academic Journal of the Nepal Ophthalmic Society : NEPJOPH1 (2010): 35-38.
8. Manandhar Anu., et al. “New Clinical and Laboratory Findings of SHAPU”. Nepalese Journal of Ophthalmology : A Biannual Peer-Reviewed Academic Journal of the Nepal Ophthalmic Society : NEPJOPH19 (2018): 23-31.
9. “Shapu - Seasonal Hyperacute Pan-Uveitis”. EyeWiki, 14 Nov. 2023, eyewiki.aao.org/SHAPU_-_Seasonal_Hyperacute_Pan-Uveitis.
10. Kharel Sitaula Ranju., et al. “Youngest reported Seasonal Hyperacute Panuveitis case”. American Journal of Ophthalmology Case Report 15(2019): 100523.
11. Sapkota U H., et al. “Seasonal hyper acute panuveitis: an unfathomed menace causing blindness in Nepal”. New Microbes and New Infections 48 (2022): 101011.
12. Tamang Sandip., et al. “Seasonal Hyperacute Panuveitis (SHAPU) in Bhutan”. Ocular Immunology and Inflammation 32,2 (2024): 203-209.
13. Manandhar Anu. “Patterns of Uveitis and Scleritis in Nepal: A Tertiary Referral Center Study”. Ocular Immunology and Inflammation1 (2017): S54-S62.
14. Byanju R N., et al. “Visual outcome of vitrectomy in seasonal hyperacute pan uveitis”. Kathmandu University Medical Journal (KUMJ)2 (2003): 121-123.
15. Manandhar A., et al. “Seasonal hyper acute pan uveitis--recent scenario in Nepal”. Nepal Medical College Journal : NMCJ 3 (2008): 196-8.
16. Gurung Nanda. “Seasonal Hyperacute Panuveitis (SHAPU)”. Journal of Nepalgunj Medical College 19 (2021):1.

Citation

Citation: Subina Timila., et al. “A Case Report on Seasonal Hyperacute Pan Uveitis (SHAPU) with Good Visual Prognosis". Acta Scientific Ophthalmology 7.7 (2024): 35-38.

Copyright

Copyright: © 2024 Subina Timila., 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.