Tamang Sandip, Jayanna Sushma, Tshering Sonam Choden, Zangmo Ugyen, Powdyel Adwitya, Dorji Phuntsho, Kezang Dechen, Gurung Kunti Devi, Dukpa Mendu, Wangdi Lhacha, Wangmo Karma Yeshey, Wangmo Dechen, Lepcha Nor Tshering, Getshen Kunzang, Das Taraprasad
Department of Ophthalmology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan.
Anant Bajaj Retina Institute - Srimati Kanuri Santhamma Centre for Vitreoretinal Diseases, L.V. Prasad Eye Institute, Hyderabad, India.
Ocul Immunol Inflamm. 2024 Feb;32(2):203-209. doi: 10.1080/09273948.2022.2164512. Epub 2023 Jan 26.
To report the first series of Seasonal Hyperacute Pan Uveitis (SHAPU) from Bhutan.
We retrospectively analyzed the patients with clinically diagnosed SHAPU treated in the referral center in the last 5 years. Data included demographics (age, sex, laterality), region, time of presentation (year, season) and treatment received.
The series included 3 males and 2 females. The mean age was 16 years. Three patients had presented in autumn of 2021, and two in autumn of 2019. Four patients presented within 2 weeks of the onset of symptoms. All patients had either exposure or contact with white moths. All patients presented with unilateral sudden painless reduction in vision and low Intraocular pressure. Four patients required vitrectomy. The final visual acuity of 3 patients was >6/36, and one patient was 6/60.
The time of presentation and early treatment intervention are crucial in achieving good visual prognosis in SHAPU.
报告来自不丹的首例季节性超急性全葡萄膜炎（SHAPU）病例系列。
我们回顾性分析了过去5年在转诊中心接受临床诊断为SHAPU治疗的患者。数据包括人口统计学信息（年龄、性别、患侧）、地区、就诊时间（年份、季节）以及接受的治疗。
该病例系列包括3名男性和2名女性。平均年龄为16岁。3例患者于2021年秋季就诊，2例于2019年秋季就诊。4例患者在症状出现后2周内就诊。所有患者均有接触或接触过白色飞蛾。所有患者均表现为单眼突然无痛性视力下降和低眼压。4例患者需要进行玻璃体切除术。3例患者的最终视力>6/36，1例患者为6/60。
就诊时间和早期治疗干预对于SHAPU获得良好的视觉预后至关重要。
