Posterior Segment Involvement in Childhood Presumed Trematode Induced Granulomatous Anterior Uveitis

ABSTRACT

Purpose

To outline posterior segment characteristics of presumed-trematode induced granulomatous uveitis.

Design

A cross-sectional case series.

Methods

The study included 56 patients (60 eyes) presented with anterior chamber (AC) granulomas. Involvement of the posterior segment structures has been documented and reported.

Results

The mean age of the patients was 11.8 years (range 6–14 years). Posterior segment findings were vitritis in 9 eyes (15%), optic disc granuloma in 2 eyes (3.3%), optic disc hyperaemia in one eye (1.7%), macular oedema in 2 eyes (3.3%), epiretinal membrane in 3 eyes (5%), retinal vasculitis in one eye, a peripheral focus of retinitis in one eye (1.7%), and choroid thickening in 10 eyes (6.7%), with localised choroidal granuloma in one eye (1.7%).

Conclusion

Presumed trematode-induced anterior chamber (AC) granuloma is not only restricted to the anterior segment of the eye, but posterior segment associations that may threaten vision should also be considered.

KEYWORDS:

• Childhood uveitis
• posterior uveitis in children
• trematode-induced uveitis

Author contributions

All authors contribute equally to this work

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.