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Case Reports
. 2015 Sep 2;6(3):284-8.
doi: 10.1159/000439081. eCollection 2015 Sep-Dec.

Atypical Bilateral Fuchs Uveitis: Diagnostic Challenges

Cristóbal Couto  1 , Erika Hurtado  1 , Dana Faingold  2 , Carmen Demetrio  1 , Ariel Schlaen  1 , Marcelo Zas  1 , Jorge Zarate  3 , Silvia Rosetti  4 , Andrea Paes de Lima  3 , Juan Oscar Croxatto  4 , Pablo Chiaradía  1 , Miguel N Burnier  2
Affiliations
Case Reports

Atypical Bilateral Fuchs Uveitis: Diagnostic Challenges

Cristóbal Couto et al. Case Rep Ophthalmol. .

Abstract

Bilateral Fuchs uveitis associated with vitreous infiltration and posterior segment involvement requires a thorough diagnostic evaluation. The lack of well-defined diagnostic criteria makes identification of this entity difficult. The aim of this case report was to present the characteristics of a patient with atypical Fuchs uveitis and the procedures needed to rule out the differential diagnosis with specific attention to the utility of in vivo confocal microscopy (IVCM).

Case report: One case of chronic bilateral uveitis with severe vitreous opacities is presented. After extensive systemic workup, including vitrectomy, the case had no identifiable systemic etiology. IVCM of the cornea revealed the presence of dendritiform keratic precipitates.

Conclusion: The diagnosis of Fuchs uveitis is based on clinical findings as no confirmatory laboratory tests are available. A high index of suspicion is key to an early diagnosis, especially in the cases with vitreous opacities and posterior segment manifestations. Auxiliary tests such as IVCM may aid the clinician in the diagnosis of Fuchs uveitis.

Keywords: Bilateral Fuchs uveitis; Diagnosis; In vivo confocal microscopy.

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Figures

Fig. 1
Fig. 1
Diffuse stellate medium, little KPs and vitreous haze in OU.
Fig. 2
Fig. 2
Histopathological features of the OS.
Fig. 3
Fig. 3
IVCM features of OU.
See this image and copyright information in PMC

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