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Recurrent bilateral idiopathic anterior uveitis with vitritis post Coronavirus Disease 2019 infection

1 Department of Uvea and Ocular Immunology, Cornea and Refractive Surgery, Narayana Nethralaya, Bengaluru, Karnataka, India
2 Department of Medicine, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India
3 Department of Rheumatology, Manipal Hospitals, Bengaluru, Karnataka, India
4 Department of Neuro-ophthalmology, Cornea and Refractive Surgery, Narayana Nethralaya, Bengaluru, Karnataka, India

Correspondence Address:
Srinivasan Sanjay,
Narayana Nethralaya, Bengaluru, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/injr.injr_114_21

A 35-year-old Asian Indian female developed recurrent attacks of bilateral anterior uveitis with vitritis following a febrile episode. Extensive systemic investigations for a febrile episode did not yield any clue. Systemic clinical examination was also within normal limits. In this patient, we found an association of high coronavirus disease 2019 (COVID-19) total antibodies. The polymerase chain reaction for COVID-19 was negative ruling out an active COVID-19 infection. After initiation of oral steroids and immunosuppression the ocular inflammation is now under remission. This report illustrates that the presence of COVID-19 antibodies may presumably play a role in triggering the immune system, this can cause recurrent ocular inflammation in absence of other extraocular inflammation.

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