Seasonal Hyperacute Panuveitis (SHAPU) in Bhutan

ABSTRACT

Purpose

To report the first series of Seasonal Hyperacute Pan Uveitis (SHAPU) from Bhutan.

Methods

We retrospectively analyzed the patients with clinically diagnosed SHAPU treated in the referral center in the last 5 years. Data included demographics (age, sex, laterality), region, time of presentation (year, season) and treatment received.

Results

The series included 3 males and 2 females. The mean age was 16 years. Three patients had presented in autumn of 2021, and two in autumn of 2019. Four patients presented within 2 weeks of the onset of symptoms. All patients had either exposure or contact with white moths. All patients presented with unilateral sudden painless reduction in vision and low Intraocular pressure. Four patients required vitrectomy. The final visual acuity of 3 patients was >6/36, and one patient was 6/60.

Conclusions and Importance

The time of presentation and early treatment intervention are crucial in achieving good visual prognosis in SHAPU.

KEYWORDS:

• Bhutan
• clinical features
• seasonal hyperacute panuveitis
• SHAPU
• visual outcome

Acknowledgments

We thank Dr. Sirisha Senthil, Dr. Soumyava Basu, Dr. Subhadra Jalali, Dr. Mahesh P Shanmugam, Dr. Hitesh Agarwal, Mrs. Pema Zangmo, Mr. Thukten Tshering and all the staffs of the Ophthalmology department of Jigme Dorji Wangchuck National Referral Hospital for rendering their help and support for this study.

Disclosure statement

No potential conflict of interest was reported by the authors.

Patient consent statement

Written consent to publish case details was obtained from the patient/legal guardian.

Authorship

All authors attest that they meet the current ICMJE criteria for Authorship.

Correction Statement

This article has been republished with minor changes. These changes do not impact the academic content of the article.

Additional information

Funding

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