Sudden Unilateral Blindness in a Girl With Kawasaki Disease

Abstract

<p>This article describes a 9-year-old girl with clinical and laboratory features of Kawasaki disease. On day 7 of her febrile illness, she developed sudden loss of vision in the right eye. Visual acuity was no light perception. Dilated funduscopy showed diffuse intense retinal whitening, narrowing retinal arterioles, and a pale swollen disk—but no cherry-red spot. These findings suggested ophthalmic artery obstruction. Kawasaki disease can be sight-threatening.</p> <p><cite>J Pediatr Ophthalmol Strabismus</cite> 2007;44:303-304.</p> <h4>AUTHORS</h4> <p>Drs. Farvardin and Sajjadi are from the Department of Ophthalmology and Drs. Kashef, Aleyasin, Nabavizadeh, and Safari are from the Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, Iran.</p> <p>Originally submitted May 7, 2005.</p> <p>Accepted for publication September 1, 2005.</p> <p>Address correspondence to Majid Farvardin, MD, Department of Ophthalmology, Khalili Hospital, Shiraz, Iran.</p>

A case of Kawasaki disease complicated with retinal vasculitis

“…Anterior uveitis is a common ophthalmologic complication associated with KD, but the posterior involvement of KD such as retinal vasculitis is extremely rare. To the best of our knowledge, there are only three reports of long‐term visual impairment due to KD: the first reporting a 9‐year‐old girl with bilateral blindness due to KD; the second reporting a 4‐year‐old male patient with unilateral vision loss due to retinal and vitreous exudation; and the third reporting a 4‐year‐old male patient with visual impairment due to retinal vasculitis . In most cases, including the present case, visual impairment was transient.…”

Acute Phase Complications of Older Children with Kawasaki Disease

“…However, there are rare reports of posterior segment involvement, and these are associated with poorer outcomes. [3,23,24] The persistent inflammation caused by KD may lead to ocular posterior segment involvement. [24] The causes of transient blindness of the patient in the present study were thought to be compression of the optic disc via increased intraocular pressure due to uveitis and possible subclinical optic perineuritis.…”

Rare ocular manifestations in an 11-year-old girl with incomplete Kawasaki disease

“…Whether the patient needs a surgery depends largely on the evaluation and judgment of the ophthalmologist. Monitoring the eye and the fundus routinely, while treating Kawasaki disease systemically, benefits patients with retinal lesions, [4] and potentially prevents the ocular inflammation progress to vision loss.…”