Abstract:
To report a rare case of bilateral intermediate uveitis due to latent reactivation of varicella zoster virus in immunocompetent patient.
A five-year-old healthy child presented to our clinic complaining of symptoms of blurry of vision and floaters. Full ophthalmological examination as well as ocular imaging including fundus photographs (Figure 1), FFA (Figure 2), OCT of maculae and optic nerve (Figure3) performed. He was diagnosed to have bilateral intermediate uveitis as defined by the SUN criteria. Complete work-up was initiated to exclude the infectious and non-infectious causes. Brain MRI (figure 4) was obtained prior to initiate anti-TNF-alpha therapy and revealed multiple non enhancing foci of hyperintense signal within subcortical and periventricular white matter at the supratentorial level. The patient was neurologically asymptomatic. A follow-up brain MRI was done one year later which revealed new demyelinating lesions (figure 5). The patient was considered to have radiologically isolated syndrome and he did not receive anti-TNF-alpha agents.
Biography:
Maryam I. Toma Al Najjar is the youngest ophthalmologist graduated in the Middle-East and obtaining the Arab Board of Health Specializations in Ophthalmology and the first Paediatric ophthalmologist who is internationally subspecialize in Ocular Genetics, Uveitis and Ocular immunology diseases besides the pediatric ophthalmology. She finished her medical degree at younger age at 22-year-old from Al - Nahrain University in Baghdad, Iraq. Later on, she graduated from McGill University with distinction in 2018. She discovered a new genetic mechanism for Leber Congenital amaurosis and her discovery was published in Nature Journal/Scientific reports in March 2018. She completed her Clinical Paediatric Ophthalmology Fellowship and Ocular Genetics Fellowship at McGill University while she finished the Uveitis and Ocular immunology Fellowship at University de Montreal to become the first international professional pediatric uveitis who take cares of pediatric uveitis cases. Moreover, she is appointed recently as a global peace ambassador as rewarding for her extensive missionary work as missionary ophthalmologist in underserved regions in this world. She is a dedicated clinical scientist to fight blindness in everywhere. She is a multitalented physician and theologist. She plays Harp, Organ, Piano; and a skilled poet and painter.
