OCULAR IMMUNOLOGY AND INFLAMMATION

Unusual and Atypical Ocular Infections
Smit DP, Tugal-Tutkun I and Thorne JE
Presumed Sympathetic Ophthalmia After Diode Laser Cyclophotocoagulation for Neovascular Glaucoma: A Case Series
Flores-Sánchez BC and Sears KS
To describe a case series of presumed Sympathetic Ophthalmia (SO) triggered by diode laser cyclophotocoagulation (CPC) for the treatment of neovascular glaucoma.
Intraocular Metastatic Lung Adenocarcinoma Masquerading as an Intermediate Uveitis
Nguyen RD, Livnat I, Krishnan V, Stewart JM and Gonzales JA
To report on the clinical and cytopathological features of metastatic lung adenocarcinoma to the eye masquerading as an intermediate uveitis.
Intermediate Uveitis: An Updated Review of the Differential Diagnosis and Relevant Special Investigations
Biju Mark J, Smit DP, E R and Sr R
The aim of this review is to provide an update on both the differential diagnosis of intermediate uveitis (IU) and the special investigations that may be required to determine the underlying etiology of this condition. The authors describe how they identified the relevant publications included in this review and then proceed to outline the possible causes of IU by classifying them into the following categories: Idiopathic, infectious, systemic, genetic/hereditary, drug-induced and masquerades. Thereafter, the special investigations relevant to each cause are discussed individually.
Barriers to Adherence with Clinic Visits in Patients with Uveitis
Sun K, Marshall R, Frankland M, Taylor A, Montana C, Crowell E, Armbrust KR, Kopplin L and Berkenstock M
To assess the patient barriers to adherence with appointment follow-up in patients with ocular inflammatory disorders across the United States.
Corneal Perforation Associated with Pembrolizumab - A Case Report with Literature Review
Balasubaramaniam D, Yi Wen L, Amir NN and Singh S
To shed light on one of the ocular adverse effects related to pembrolizumab.
Spectrum of Imaging Characteristics of Birdshot Chorioretinopathy
Kherani S, Alapati A, Kaisari E, Begaj T, Janetos TM, Koreishi A and Goldstein DA
Birdshot chorioretinopathy (BSCR) is a bilateral, chronic posterior uveitis with characteristic clinical and imaging findings. Multimodal imaging including optical coherence tomography, fluorescein, and indocyanine green angiography is useful in diagnosis, as well as monitoring disease activity. Cystoid macular edema, choroidal thickening and infiltration, ellipsoid loss, and vasculitis are important imaging markers for disease activity. The purpose of this case series is to discuss the spectrum of disease presentations and highlight both common and atypical imaging characteristics of BSCR that may provide clinical insight to allow for better identification and treatment of disease.
A Word from the Editors
Smit DP, Thorne JE and Tugal-Tutkun I
Clinical and Imaging Characteristics of Posterior Scleritis in Children
Katzir A and Amer R
Posterior scleritis (PS) is a rare phenotype of scleritis. Comprehensive epidemiological studies on PS in children are limited. We aimed to report on its clinical and imaging features in one of the largest pediatric series to date.
Causal Relationship Between Autoimmune Rheumatic Diseases and Iridocyclitis: A Bidirectional Two-Sample Mendelian Randomization Study
Wang M and Li G
This study aims to explore the relationship between autoimmune rheumatic diseases (ARDs) and the risk of iridocyclitis (IC) using Mendelian randomization (MR) analysis.
Changes in Axial Length in Patients of Acute Retinal Necrosis Undergoing Vitrectomy
Lei B, Zhou Y, Ding X, Gu R, Shu Q, Wang M, Chang Q, Xu G, Zhou M and Jiang R
To observe the changes in the axial length (AL) in patients of acute retinal necrosis (ARN) undergoing vitrectomy and investigate the correlated factors.
Bilateral Choroidal Metastases from Primary Cutaneous Melanoma Following Nivolumab Discontinuation: A Case Report
Padilla-Pantoja FD, Godin F, Rojas-Rojas F, Camargo-González J and Ancona-Lezama D
To present the case of a young patient with BRAF V600E-mutant cutaneous melanoma who developed bilateral choroidal metastases complicated by neovascular glaucoma (NVG) in both eyes following the interruption of nivolumab therapy.
Real-World Efficacy and Safety of Escalation to Weekly Adalimumab for Chronic Non-Infectious Uveitis: A Multicenter Study Involving Pediatric and Adult Patients
Oklar M, İnanç Tekin M, Özdemir Yalçınsoy K, Zorlutuna Kaymak N, Tanyildiz B and Özdal PÇ
To evaluate the efficacy and safety of weekly adalimumab (ADA) treatment in non-infectious uveitis (NIU) patients, including both pediatric and adult populations, and identify factors influencing treatment efficacy.
A Case of AQP4-IgG Neuromyelitis Optica Presenting with Orbital Inflammatory Syndrome
Bailey LA, Riascos RF and Adesina OO
A 45-year-old healthy African-American man experienced 2 months of right-eye soreness followed by acute onset of right painful vision loss with binocular, oblique diplopia. Visual acuity was count fingers OD and 20/20 OS. He had a partial, right, pupil-involving cranial nerve III palsy with a right relative afferent pupillary defect and optic disc edema with tortuous vessels. Magnetic resonance imaging showed increased T2 signal with tortuosity and thickening of the retrobulbar right optic nerve with associated restricted diffusion and enhancement, enhancement of orbital fat adjacent to the optic nerve sheath, and relative right proptosis. Workup was positive for aquaporin-4 antibody (AQP4-IgG) consistent with neuromyelitis optica spectrum disease (NMOSD). Our patient presented with signs and symptoms of orbital inflammation with optic neuritis and, to our knowledge, this is the first reported case of AQP4-IgG NMOSD presenting with orbital inflammatory syndrome.
Half a Century's Quest for Seasonal Hyperacute Panuveitis (SHAPU): From Academic Curiosity to Public Health Concern
Goh YY, Sitaula RK, Rojas-Carabali W, Agrawal R, Karki P, Gurung H, Shrestha E, Joshi P, Khatri A, Sharma AK, Joshi SN, Ram Bhusal D and Prasad Upadhyay M
For the past 50 years, significant progress has been made in understanding Seasonal Hyperacute Panuveitis (SHAPU), a mysterious blinding disease first reported in Nepal in 1975. Predominantly affecting Nepalese children, SHAPU occurs cyclically every odd year from September to December. While initially misclassified as endophthalmitis, SHAPU is set apart by its lack of trauma or surgery, failure to grow organisms in most intraocular fluid cultures, and its hallmark presentation of a "white pupil in red eye" with an association with moth exposure. Recent findings have expanded SHAPU's geographical scope beyond Nepal, with cases reported in Bhutan. Moreover, sporadic summer outbreaks have emerged, showing worse clinical outcomes than the typical cases. Recent studies suggest that the moth may play a role, although the exact cause of SHAPU remains undetermined. Despite the increased understanding of SHAPU's geographic distribution and cyclical patterns, it is possible that some cases remain misdiagnosed or underreported. Continued research is critical to further exploring the aetiology of SHAPU, which will lead to better diagnostic tools, targeted treatments, and improved outcomes. The inclusion of SHAPU under more general categories such as endophthalmitis underscores the need for a clearer distinction of this condition to prevent blindness in at-risk populations.
Impact of Reduction of 2% Topical Ganciclovir on Recurrence of Cytomegalovirus Iritis
Nariya Y, Ono T, Minami T, Aihara M, Tanaka R and Miyai T
To examine the recurrence of cytomegalovirus (CMV) iritis in patients using low-dose ganciclovir (GCV) eye drops.
Two Cases of ROSAH-Like Syndrome Restricted to the Ophthalmologic Presentation
Mourozeau L, Pichon V, Bouzidi A, Charif M, Tessarech M, Caignard A, Amati-Bonneau P, Guichet A, Lavigne C, Verny C, Gohier P and Lenaers G
To report the clinical presentation and follow-up, including the optical coherence tomography, angiography and electrophysiology of two individuals from the same family presenting with an isolated retinal dystrophy and optic nerve edema who were diagnosed with ROSAH-like syndrome.
Demographic Features, Diagnoses and Real-World Clinical Management of Uveitis in Japan
Hayashi I, Keino H, Nakayama M, Ando Y, Watanabe T and Okada AA
This study aimed to investigate demographic features, diagnoses of uveitis (intraocular inflammation), and real-world clinical practice in the use of local and systemic therapies for patients with uveitis in Tokyo, Japan.
Multicenter Analysis of Acute Retinal Necrosis: Clinical Characteristics, Viral Pathogens, and Diagnostic Predictive Factors
Soitong P, Ngathaweesuk Y, Panyayingyong N, Amphornphruet A, Nganthavee V, Sakboonyarat B and Keorochana N
This multicenter study aimed to investigate the clinical characteristics and factors associated with specific viral pathogens in patients with acute retinal necrosis (ARN).
Economic Burden and Cost-Effectiveness of Management of Non-Infectious Uveitis: A Systematic Review
Sriranganathan A, Mihalache A, Grad J, Miranda RN and Felfeli T
To evaluate the economic burden and cost-effectiveness of interventions and management of non-infectious uveitis (NIU).
HLA-G Polymorphisms of The 3'-UTR Region Are Involved in Susceptibility to Non-Infectious Uveitis
Molina-Alejandre M, Juárez I, Vaquero-Yuste C, Gorroño-Echebarría M, Molanes-López EM, Fernandez-Cruz E, Rodriguez-Sainz C, Arnaiz-Villena A and Martin-Villa JM
HLA-G is a non-classical HLA class I gene encoding a molecule endowed with immunomodulatory properties, playing important immunosuppressive and tolerogenic roles in immuno-privileged organs. Fluctuations in its expression levels have been correlated with the predisposition to autoinflammatory disorders, notably uveitis, characterized by inflammation of the uvea. In the present work, DNA was obtained from saliva samples of 147 Spanish patients with uveitis, with subsequent analysis focusing on the distribution of polymorphisms within the 3'UTR region of the gene (a region known to modulate the expression of the HLA-G molecule).