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Patient case
Uveitis

Uveitis

Patient details
- Name: Mr. SK - Age: 42 years - Gender: Male - Residence: Coastal village in Ghana - Occupation: Fisherman
Patient case fields
Presenting Complaints

- Severe eye pain and redness in the right eye for 2 weeks

- Blurred vision, sensitivity to light, tearing, occasional floaters

 

 

 

Past Medical History

- Family History: No known eye diseases

- Personal History: Previously healthy, no chronic illnesses

Examination Findings

- Visual Acuity: Right eye: 20/60, Left eye: 20/20

- Slit-Lamp Examination: Right eye shows conjunctival injection, anterior chamber cells and flare, small keratic precipitates; left eye normal

- Fundoscopy: Hazy view of right retina due to inflammation; left retina normal

- Intraocular Pressure (IOP): Right eye: 14 mmHg, Left eye: 16 mmHg

 

 

Diagnosis

- Acute Anterior Uveitis

Treatment Plan
  1.  Medication: Topical corticosteroids (Prednisolone acetate 1%), cycloplegic agents (Atropine 1%)
  2. Follow-Up: 1 week initially, then regularly until symptoms resolve
  3. Referral: Specialist evaluation to rule out systemic causes
  4. Education: Adherence to medication, recognizing recurrence symptoms, seeking prompt care

 

Discussion

Challenges:

- Limited access to ophthalmic care

- Economic impact from inability to work during flare-ups

- Environmental exposure to sun and water

Public Health Needs:

- Community education on uveitis symptoms and early treatment

- Mobile clinics for remote areas

- Training local healthcare workers to manage uveitis

Conclusion:

Timely management and specialist referral are essential to prevent complications and preserve vision for patients like Mr. SK. Improving healthcare access and community awareness in rural areas is crucial for better outcomes.

Discussion
No data was found
Questions
1. What is the main complaint of Mr. SK?

A). Double vision

B). Severe eye pain and redness

C). Sudden vision loss

D). Night blindness

2. How long has Mr. SK been experiencing his symptoms?

A). 3 days

B). 1 week

C). 2 weeks

D). 1 month

3. What occupation does Mr. SK have?

A). Teacher

B). Farmer

C). Fisherman

D). Shopkeeper

4. What was Mr. SK’s visual acuity in the right eye?

A). 20/20

B). 20/40

C). 20/60

D). 20/80

5. Which eye shows signs of uveitis in Mr. SK?

A). Right eye

B). Left eye

C). Both eyes

D). Neither eye

6. What findings were observed in the slit-lamp examination of Mr. SK 's right eye?

A). Retinal detachment

B). Conjunctival injection, cells and flare in the anterior chamber, keratic precipitates

C). Corneal abrasion

D). Optic nerve atrophy

7. What is the diagnosis for Mr. SK?

A). Glaucoma

B). Cataract

C). Acute Anterior Uveitis

D). Macular degeneration

8. What medications were prescribed to Mr. SK?

A). Antibiotics and antihistamines

B). Topical corticosteroids and cycloplegic agents

C). Oral steroids and antifungals

D). Antiviral eye drops and painkillers

9. What is a key socioeconomic challenge faced by Mr. SK?

A). Limited access to surgical services

B). Language barriers

C). Limited access to ophthalmic care

D). Lack of family support

10. What public health measures are suggested to improve uveitis care in Mr. SK’s community?

A). Distribution of free glasses

B). Community education on uveitis and mobile clinics

C). Vaccination campaigns

D). Establishing dental clinics

Reveal answers

Answers

  1. B). Severe eye pain and redness
  2. C). 2 weeks
  3. C). Fisherman
  4. C). 20/60
  5. A). Right eye
  6. B). Conjunctival injection, cells and flare in the anterior chamber, keratic precipitates
  7. C). Acute Anterior Uveitis
  8. B). Topical corticosteroids and cycloplegic agents
  9. C). Limited access to ophthalmic care
  10. B). Community education on uveitis and mobile clinics

 

 

 

 

 

 

 

 

B). Severe eye pain and redness

  1. C). 2 weeks
  2. C). Fisherman
  3. C). 20/60
  4. A). Right eye
  5. B). Conjunctival injection, cells and flare in the anterior chamber, keratic precipitates
  6. C). Acute Anterior Uveitis
  7. B). Topical corticosteroids and cycloplegic agents
  8. C). Limited access to ophthalmic care
  9. B). Community education on uveitis and mobile clinics