Fuch’s Uveitis: A Case Report

Abstract

Introduction: Fuchs’ Uveitis (FU) is a chronic nongranulomatous anterior uveitis that accounts for 3% of all uveitis cases. Usually is asymptomatic but occasionally can cause floaters and decrease in visual acuity secondary mainly to complications like vitreous opacities, cataract and glaucoma. The diagnosis is clinic and treatment includes correction of complications. Presentation of Case: 40-year-old woman presented with a complaint of progressive decreased vision in the right eye (OD). Slit lamp evaluation revealed in OD multiple stellate keratic precipitates, slight iris atrophy and hypochromia, a white cataract and no anterior chamber inflammatory reaction. Intraocular pressure in OD was high and was controlled with timolol.  On the basis of these findings and after excluding other aetiologies, a diagnosis of Fuchs’ uveitis was made. Cataract surgery was performed. Conclusion: This clinical case enhances the need of integration of clinical signs to don’t sub diagnosis Fuch’s uveitis and not overvalue the presence of iris heterochromia. This cases also reflect the good results obtained with cataract surgery associated with few complications in this type of uveitis.