title: Retinal artery vasculitis secondary to administration of influenza vaccine.
abstract: There are many differential diagnoses in investigating patients who present with retinal vasculitis, and the laboratory investigations used to investigate this have low-to-moderate sensitivity and/or specificity. Diagnoses include conditions such as tuberculosis or sarcoidosis, which may require long courses of antibiotics or immunosuppression. Influenza vaccination has been recognised as a cause of vasculitis for decades, although a purely ocular presentation is rare. We present a case of a 78-year-old Caucasian woman presenting with a single vessel arterial vasculitis of the right eye 8 weeks following influenza vaccination at her local general practitioner practice. We encourage ophthalmologists, rheumatologists and uveitis specialists to consider influenza vaccine as a cause of ocular vasculitis if the vaccine has been recently administered.
authors: University Hospital of Wales, Cardiff, UK.
authors: Gwyn Samuel
authors: GS
authors: Williams
authors: Department of Ophthalmology, University Hospital of Wales, Wales, UK.
authors: Sam
authors: S
authors: Evans
authors: Department of Ophthalmology, University Hospital of Wales, Wales, UK.
authors: Damien
authors: D
authors: Yeo
authors: University Hospital of Wales, Cardiff, UK.
authors: Ayad
authors: A
authors: Al-bermani
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007252:Influenza Vaccines / Q000009:adverse effects*; D009883:Ophthalmic Solutions / Q000008:administration & dosage; D012161:Retinal Artery; D031300:Retinal Vasculitis / Q000188:drug therapy / Q000209:etiology*; D013256:Steroids / Q000008:administration & dosage; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology
chemical_list: D007252:Influenza Vaccines; D009883:Ophthalmic Solutions; D013256:Steroids