Ocular Inflammation Post-Vaccination.
Yaru ZouKoju KamoiYuan ZongJing ZhangMingming YangKyoko Ohno-MatsuiPublished in: Vaccines (2023)
The association between vaccines and ocular disorders has attracted significant attention in scientific research. Numerous mainstream vaccines are associated with a range of uveitis types, including anterior, intermediate, and posterior uveitis. Additionally, they are associated with distinct ocular diseases such as multifocal choroiditis, Vogt-Koyanagi-Harada (VKH) disease, acute posterior multifocal placoid pigment epitheliopathy (APMPPE), and multiple evanescent white dot syndrome (MEWDS). These ocular conditions are often transient, with a vast majority of patients experiencing improvement after steroid intervention. To date, numerous cases of vaccine-induced uveitis have been reported. This study analyzed the correlation between antiviral vaccines, including the hepatitis B virus (HBV), human papillomavirus (HPV), measles-mumps-rubella (MMR), varicella zoster virus (VZV), and influenza vaccines, and different manifestations of uveitis. This is the first comprehensive study to offer a detailed analysis of uveitis types induced by antiviral vaccines. Through an extensive database search, we found a particularly strong link between influenza vaccines, followed by VZV and HPV vaccines. While anterior uveitis is common, conditions such as APMPPE, MEWDS, and VKH are particularly notable and merit careful consideration in clinical practice. Corticosteroid treatment was effective; however, half of the observed patients did not achieve full recovery, indicating potentially prolonged effects of the vaccine.
Keyphrases
- hepatitis b virus
- juvenile idiopathic arthritis
- ankylosing spondylitis
- end stage renal disease
- liver failure
- ejection fraction
- chronic kidney disease
- newly diagnosed
- randomized controlled trial
- clinical practice
- prognostic factors
- emergency department
- high grade
- optic nerve
- patient reported outcomes
- disease activity
- optical coherence tomography
- drug induced
- intensive care unit
- combination therapy
- cerebral ischemia