Determination of Unilateral Posterior Uveitis in a Young Suspected Juvenile Idiopathic Arthritic Male

The aim of this study was to create awareness about the importance of regular ophthalmic consults in suspected and diagnosed cases of JIA. A 15 y/M was referred from Paediatrics department to rule out uveitis in a suspected case of Juvenile idiopathic arthritis(JIA). He had no ocular complaints. There was history of left eye amblyopia since childhood and usage of thick glasses since 10 years. There was no history of ocular trauma, procedure or any systemic illness. Best corrected visual acuity(BCVA) was 6/9 in RE and 6/24 in LE recorded using Snellen’s chart, color vision and Amslers grid test were within normal limits in both eyes. The anterior portion was examined and found to be within normal limits. In both eyes, the posterior segment revealed myopia, with mild vitreous degeneration in the right eye and vitreous debris, inflammatory debris, perivascular sheathing, and snowbanking in the superotemporal and inferior quadrants in the left eye, but no active macular edoema. Systemic workup was done and the patient was started on oral steroids and immunosuppressant. The presenting feature of posterior uveitis, unilateral involvement, and asymptomatic nature of this case highlight the necessity of screening suspected JIA cases for early detection and management of ocular sequelae. JIA-associated uveitis rarely presents with complaints, a high index of suspicion is indicated in these cases due to poor prognosis and high rate of complications.