Seasonal hyper acute pan uveitis--recent scenario in Nepal.
Seasonal hyperacute panuveitis (SHAPU), characterized by an unusual form of unilateral severe hyper acute diffused intraocular inflammation, is one of the mysterious eye diseases of which the definite cause and treatment remains yet to be tound out. In this study, a total of six cases were included. Aqueous and vitreous samples were subjected to direct microscopy and culture (bacterial or fungal). Of the six cases included, two yielded Streptococcus pneumoniae and one Acinetobactor sp. on culture. All three culture positive samples showed pus cells in direct microscopic examination (gram stain). All cases were subjected to vitrectomy and intravitreal antibiotic and steroid injection, along with oral antibiotics and steroid. Five cases were also treated with antiviral agent. After treatment four cases showed reversal of hypotony and three cases recovered some vision.
Manandhar
A
A
Tilganga Eye Center, Gausala, Nepal. uveitis_tec@yahoo.com
Paudel
G
G
Rai
C K
CK
Rai
S K
SK
Gurung
R
R
Ruit
S
S
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D015818:Eye Infections, Bacterial / Q000473:pathology* / Q000628:therapy; D006801:Humans; D009390:Nepal; D015864:Panuveitis / Q000382:microbiology* / Q000473:pathology* / Q000628:therapy; D012160:Retina / Q000473:pathology; D012189:Retrospective Studies; D014821:Vitrectomy
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents