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Am J Ophthalmol Case Rep. 2017 Mar 19;6:74-76. doi: 10.1016/j.ajoc.2017.03.005. eCollection 2017 Jun.

Bilateral uveitis following intravenous immunoglobulin administration.

American journal of ophthalmology case reports

Enis D Kocak, Bob Z Wang, Anthony J Hall

Affiliations

  1. Department of Ophthalmology, The Alfred Hospital, 55 Commercial Road, Melbourne, Victoria, Australia.

PMID: 29260064 PMCID: PMC5722169 DOI: 10.1016/j.ajoc.2017.03.005

Abstract

PURPOSE: To report a case of bilateral acute anterior uveitis in an adult female occurring following the administration of intravenous immunoglobulin (IVIG).

OBSERVATIONS: A 44-year-old female patient was commenced on IVIG following presentation to hospital with upper limb neuropathic pain. Within two days, she developed bilateral red, painful photophobic eyes. Examination revealed bilateral acute anterior uveitis and IVIG was ceased. Investigations for autoimmune or infective causes for the uveitis were unremarkable. Complete resolution of the uveitis was achieved with topical corticosteroids and cessation of IVIG.

CONCLUSIONS AND IMPORTANCE: Clinicians should be aware of the possibility of uveitis as an adverse effect of IVIG. Early identification of the offending medication and its cessation in this case were associated with a good visual prognosis.

Keywords: Adverse drug reaction; Drug-induced uveitis; Intravenous immunoglobulin; Uveitis

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