Dr. Sujay Chauhan, C17713, Dr. Padmamalini Mahendradas, Dr. Ankush Kawali, Dr. Rohit Shetty
Purpose: To report challenging cases of uveitis with more than one etiology and their management
Methods: This was a retrospective case series study of 26 patients diagnosed with uveitis. Clinical presentation and/or treatment response were suggestive of existence of more than 1 etiological entity. Detailed history, ocular and systemic examination and appropriate laboratory investigations were done.
Results: An infectious and an immune-mediated disease co-existed in 21 patients, more than 1 infectious disease in 3 patients and more than 1 immune-mediated disease in 2 patients.
Conclusion: Co-existence of more than 1 systemic disease that can attribute to uveitis makes a conclusive diagnosis difficult. Focused history and meticulous clinical examination supported by appropriate investigations are essential to establish etiology and guide treatment. To best of our knowledge this is the first case series report on co-existence of more than 1 etiology in immunocompetent uveitis patients.
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