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Subspecialties Comprehensive, Practice Management, Retina

Putting Out Uveitis Fires

Case after case...

A six-year-old boy with a history of acute leukemia – and seemingly doing well after bone marrow transplantation and immunosuppressive therapy – developed blurred vision and uveitis in one eye and was referred to Wills Eye Hospital with suspicion of recurrent leukemia. Because the eye is an “immunologically privileged” site, intraocular inflammation in a child with a history of leukemia is recurrent leukemia until proven otherwise. The young patient’s family was understandably distraught.

A 25-year-old man came to the Wills Eye Uveitis Unit in the Retina Division for multiple recurrences of acute-onset pain, redness, and light sensitivity alternating between his eyes. At his examination, he was very surprised to be asked about low back pain, which he had suffered from for several years. He said, “My back is really stiff when I wake up, but then loosens up after an hour or two.” He was equally puzzled about the interest shown in his family history of inflammatory bowel disease, wondering what any of that had to do with his eyes.

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About the Author

James P. Dunn

Director of the Uveitis Unit at Wills Eye Hospital, USA.

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