Clinical case of severe intensification of blood flow in the conjunctiva of the eyeball one day prior to the onset of intermediate uveitis
Abstract
Purpose: A clinical case is presented of posterior uveitis in a patient who received a subconjunctival injection of Kenalog. This finding was revealed during the course of a daily assessment of conjunctival microvascular hemodynamics.
Methods: Slit lamp biomicroscopy of the conjunctival microvasculature was performed before and after the emergence of intermediate uveitis in a 28-year-old man.
Result: A case of acute vision loss and the occurrence of intermediate uveitis of the right eye is described in a patient who previously received Kenalog administered subconjunctivally to treat mild anterior uveitis, which was without visual impairment. Daily monitoring of the conjunctival microvasculature revealed that the blood flow rate of the right eye considerably increased after Kenalog administration the day before patient vision deteriorated and posterior uveitis with opacity of the vitreous body occurred. The extent of the pronounced intensification of blood flow was surprising.
Conclusion: The emergence of acute intermediate uveitis following Kenalog administration was preceded by a severe increase in blood circulation in the conjunctival vessels of the eye, which decreased one day after a severe decrease in visual acuity. It is suggested that this increase in blood flow preceding pathology may be a characteristic of any inflammatory process that occurs in the human body.
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