Unilateral Posterior Uveitis in a Young Suspected Juvenile Idiopathic Arthritic Male

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. On examination, anterior segment was within normal limits. Posterior segment showed myopic changes in both eyes with mild vitreous degeneration in right eye and vitreous debris, inflammatory debris in the inferotemporal quadrant, perivascular sheathing and snowbanking in superotemporal and inferior quadrant in left eye with no active macular edema. Systemic workup was done and the patient was started on oral steroids and immunosuppressant. 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.