Recurrent bilateral idiopathic anterior uveitis with vitritis post Coronavirus Disease 2019 infection

Abstract

A 35-year-old Asian Indian female developed recurrent attacks of bilateral anterior uveitis with vitritis following a febrile episode. Extensive systemic investigations for a febrile episode did not yield any clue. Systemic clinical examination was also within normal limits. In this patient, we found an association of high coronavirus disease 2019 (COVID-19) total antibodies. The polymerase chain reaction for COVID-19 was negative ruling out an active COVID-19 infection. After initiation of oral steroids and immunosuppression the ocular inflammation is now under remission. This report illustrates that the presence of COVID-19 antibodies may presumably play a role in triggering the immune system, this can cause recurrent ocular inflammation in absence of other extraocular inflammation.

Keywords

• anterior uveitis
• coronavirus disease-2019
• coronavirus disease-2019 antibodies
• immunosuppression
• ophthalmic manifestations
• oral steroids