Conjunctivitis was diagnosed and tobramycin + dexamethasone ophthalmic suspension 4 times daily was prescribed. KeywordsĪ 11-year-old caucasian boy came to our attention complaining redness and photophobia in his Left Eye (LE) for a few days. A prompt and adequate antibiotic treatment is essential in order to avoid potentially severe complications. Omolateral turbinate hypertrophy with nasal valve impairment was subsequently diagnosed and no recurrences occurred only after a surgical repair of the condition.īased on our report, sinusitis should always be considered in children with anterior uveitis and/or papilledema. A complete resolution of both uveitis and disc edema along with the improvement of the sinusitis occurred. Clarithromycin was then switched to systemic ciprofloxacin.
One month after the treatment had been stopped a monolateral recurrence occurred in his right eye and MRI showed persistent inflammation in the omolateral right maxillary sinus. An encephalic Magnetic Resonance Imaging (MRI) showed bilateral maxillary sinusitis and both topical steroids and systemic clarithromycin were then administered, leading again to bilateral remission. After 2 months from diagnosis the situation recurred bilaterally. The treatment was then continued, leading to complete remission. After 1 week course of topical and parabulbar steroid and systemic benzylpenicillin a bilateral optic disc edema was also detected. To describe an unusual case in which bilateral sinusitis was followed by bilateral anterior uveitis complicated by bilateral papillitis that completely resolved after appropriate treatment of the sinusitis.Ī 11-year-old caucasian child presented with bilateral anterior uveitis and a diagnosis of poststreptococcal uveitis was made after a complete clinical examination.
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