Atypical Bilateral Fuchs Uveitis: Diagnostic Challenges.
Bilateral Fuchs uveitis associated with vitreous infiltration and posterior segment involvement requires a thorough diagnostic evaluation. The lack of well-defined diagnostic criteria makes identification of this entity difficult. The aim of this case report was to present the characteristics of a patient with atypical Fuchs uveitis and the procedures needed to rule out the differential diagnosis with specific attention to the utility of in vivo confocal microscopy (IVCM).


METHODS
One case of chronic bilateral uveitis with severe vitreous opacities is presented. After extensive systemic workup, including vitrectomy, the case had no identifiable systemic etiology. IVCM of the cornea revealed the presence of dendritiform keratic precipitates.


CONCLUSIONS
The diagnosis of Fuchs uveitis is based on clinical findings as no confirmatory laboratory tests are available. A high index of suspicion is key to an early diagnosis, especially in the cases with vitreous opacities and posterior segment manifestations. Auxiliary tests such as IVCM may aid the clinician in the diagnosis of Fuchs uveitis.
Uveitis, Retina and Cornea Clinics, Department of Ophthalmology, University of Buenos Aires, Buenos Aires, Argentina.
Cristóbal
C
Couto
Uveitis, Retina and Cornea Clinics, Department of Ophthalmology, University of Buenos Aires, Buenos Aires, Argentina.
Erika
E
Hurtado
Ocular Pathology Laboratory, Department of Ophthalmology, McGill University, Montréal, Qué., Argentina.
Dana
D
Faingold
Uveitis, Retina and Cornea Clinics, Department of Ophthalmology, University of Buenos Aires, Buenos Aires, Argentina.
Carmen
C
Demetrio
Uveitis, Retina and Cornea Clinics, Department of Ophthalmology, University of Buenos Aires, Buenos Aires, Argentina.
Ariel
A
Schlaen
Uveitis, Retina and Cornea Clinics, Department of Ophthalmology, University of Buenos Aires, Buenos Aires, Argentina.
Marcelo
M
Zas
Department of Pathology, University of Buenos Aires, Buenos Aires, Argentina.
Jorge
J
Zarate
Microbiology and Pathology Laboratory, Fundación Oftalmológica Argentina, Buenos Aires, Argentina.
Silvia
S
Rosetti
Department of Pathology, University of Buenos Aires, Buenos Aires, Argentina.
Andrea Paes
AP
de Lima
Microbiology and Pathology Laboratory, Fundación Oftalmológica Argentina, Buenos Aires, Argentina.
Juan Oscar
JO
Croxatto
Uveitis, Retina and Cornea Clinics, Department of Ophthalmology, University of Buenos Aires, Buenos Aires, Argentina.
Pablo
P
Chiaradía
Ocular Pathology Laboratory, Department of Ophthalmology, McGill University, Montréal, Qué., Argentina.
Miguel N
MN
Burnier
Bilateral Fuchs uveitis; Diagnosis; In vivo confocal microscopy