Tubulointerstitial nephritis and uveitis syndrome is likely underdiagnosed. A 13-year-old girl with no significant medical history had photophobia, ocular pain, and decreased visual acuity. Bilateral papilledema was present. Renal biopsy revealed interstitial nephritis. Immunosuppressive therapy was added (3 mg/kg/d of cyclosporine). One year later, visual acuity was 20/20 and findings were normal on ocular examination and laboratory tests.
J Pediatr Ophthalmol Strabismus 2006;43:241-243.
The authors are from the Dipartimento di Oftalmologia e Otorinolaringoiatria, Division of Ophthalmology, University of Bari, Bari, Italy.
Originally submitted November 17, 2004.
Accepted for publication May 13, 2005.
Address reprint requests to Marco Leozappa, MD, U. O. Oftalmologia, Policlinico di Bari, P.zza Giulio Cesare 1, 70124, Bari, Italy.