Severe anterior uveitis associated with idiopathic dacryoadenitis in diabetes mellitus patient

Yasuhiro Takahashi&sup1;, Hirohiko Kakizaki&sup1;, Akihiro Ichinose&sup2;, Masayoshi Iwaki&sup1;&sup1;Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi, Japan; &sup2;Department of Plastic Surgery, Kobe University, Kobe, Hyogo, Japa...

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Autores principales:	Takahashi YY, Kakizaki H, Ichinose AA, Iwaki M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/d2e55bbdbc564a878b1974cdd6a209da
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spelling	oai:doaj.org-article:d2e55bbdbc564a878b1974cdd6a209da2021-12-02T01:08:54ZSevere anterior uveitis associated with idiopathic dacryoadenitis in diabetes mellitus patient1177-54671177-5483https://doaj.org/article/d2e55bbdbc564a878b1974cdd6a209da2011-05-01T00:00:00Zhttp://www.dovepress.com/severe-anterior-uveitis-associated-with-idiopathic-dacryoadenitis-in-d-a7472https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Yasuhiro Takahashi&sup1;, Hirohiko Kakizaki&sup1;, Akihiro Ichinose&sup2;, Masayoshi Iwaki&sup1;&sup1;Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi, Japan; &sup2;Department of Plastic Surgery, Kobe University, Kobe, Hyogo, JapanAbstract: A 38-year-old woman with diabetes mellitus complained of acute visual loss in the left eye (20/200) and swollen left upper eyelid. Slit lamp examination of the left eye revealed ciliary injection, posterior synechia iritis, numerous inflammatory cells, and fibrin exudates in the anterior chamber. T1-weighted enhanced magnetic resonance imaging demonstrated left lacrimal gland enhancement with inflammatory spread to the left anterior ocular segment. Blood examination showed increased blood sugar but the other components were within normal limits. The patient was treated with steroid pulse therapy (methylprednisolone 1 g/day &times; 3 days) under a blood sugar control regimen in consultation with an endocrinologist, after which additional peribulbar injection of triamcinolone acetonide (40 mg) was performed. Resolution of the anterior uveitis and the dacryoadenitis was obtained after 2 months and there was no recurrence 1 year after the therapy. This is a rare case of severe anterior uveitis caused by idiopathic dacryoadenitis in a patient with diabetes mellitus.Keywords: anterior uveitis, idiopathic dacryoadenitis, diabetes mellitus, magnetic resonance imaging, steroidTakahashi YYKakizaki HIchinose AAIwaki MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 619-621 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Takahashi YY Kakizaki H Ichinose AA Iwaki M Severe anterior uveitis associated with idiopathic dacryoadenitis in diabetes mellitus patient
description	Yasuhiro Takahashi&sup1;, Hirohiko Kakizaki&sup1;, Akihiro Ichinose&sup2;, Masayoshi Iwaki&sup1;&sup1;Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi, Japan; &sup2;Department of Plastic Surgery, Kobe University, Kobe, Hyogo, JapanAbstract: A 38-year-old woman with diabetes mellitus complained of acute visual loss in the left eye (20/200) and swollen left upper eyelid. Slit lamp examination of the left eye revealed ciliary injection, posterior synechia iritis, numerous inflammatory cells, and fibrin exudates in the anterior chamber. T1-weighted enhanced magnetic resonance imaging demonstrated left lacrimal gland enhancement with inflammatory spread to the left anterior ocular segment. Blood examination showed increased blood sugar but the other components were within normal limits. The patient was treated with steroid pulse therapy (methylprednisolone 1 g/day &times; 3 days) under a blood sugar control regimen in consultation with an endocrinologist, after which additional peribulbar injection of triamcinolone acetonide (40 mg) was performed. Resolution of the anterior uveitis and the dacryoadenitis was obtained after 2 months and there was no recurrence 1 year after the therapy. This is a rare case of severe anterior uveitis caused by idiopathic dacryoadenitis in a patient with diabetes mellitus.Keywords: anterior uveitis, idiopathic dacryoadenitis, diabetes mellitus, magnetic resonance imaging, steroid
format	article
author	Takahashi YY Kakizaki H Ichinose AA Iwaki M
author_facet	Takahashi YY Kakizaki H Ichinose AA Iwaki M
author_sort	Takahashi YY
title	Severe anterior uveitis associated with idiopathic dacryoadenitis in diabetes mellitus patient
title_short	Severe anterior uveitis associated with idiopathic dacryoadenitis in diabetes mellitus patient
title_full	Severe anterior uveitis associated with idiopathic dacryoadenitis in diabetes mellitus patient
title_fullStr	Severe anterior uveitis associated with idiopathic dacryoadenitis in diabetes mellitus patient
title_full_unstemmed	Severe anterior uveitis associated with idiopathic dacryoadenitis in diabetes mellitus patient
title_sort	severe anterior uveitis associated with idiopathic dacryoadenitis in diabetes mellitus patient
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/d2e55bbdbc564a878b1974cdd6a209da
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Severe anterior uveitis associated with idiopathic dacryoadenitis in diabetes mellitus patient

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