Retinal artery vasculitis secondary to administration of influenza vaccine

BMJ Case Reports
Gwyn Samuel WilliamsAyad Al-Bermani

Abstract

There are many differential diagnoses in investigating patients who present with retinal vasculitis, and the laboratory investigations used to investigate this have low-to-moderate sensitivity and/or specificity. Diagnoses include conditions such as tuberculosis or sarcoidosis, which may require long courses of antibiotics or immunosuppression. Influenza vaccination has been recognised as a cause of vasculitis for decades, although a purely ocular presentation is rare. We present a case of a 78-year-old Caucasian woman presenting with a single vessel arterial vasculitis of the right eye 8 weeks following influenza vaccination at her local general practitioner practice. We encourage ophthalmologists, rheumatologists and uveitis specialists to consider influenza vaccine as a cause of ocular vasculitis if the vaccine has been recently administered.

Citations

Jul 1, 2016·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·T Ness, H Hengel
Aug 23, 2020·Indian Journal of Ophthalmology·Manisha AgarwalBahram Bodaghi
Jun 20, 2019·Vestnik oftalmologii·A S Stoyukhina

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