Ocular Inflammatory Events Following COVID-19 Vaccination in the Paediatric Population: A Multinational Case Series

Ocul Immunol Inflamm. 2024 Sep;32(7):1237-1242. doi: 10.1080/09273948.2023.2220782. Epub 2023 Jun 14.

Abstract

Background: Ocular inflammatory events following COVID-19 vaccination have been reported in the adult population.

Methods: Multinational case series of patients under the age of 18 diagnosed with ocular inflammatory events within 28 days of COVID-19 vaccination.

Results: Twenty individuals were included. The most common event was anterior uveitis (n = 8, 40.0%), followed by intermediate uveitis (7 patients, 35%), panuveitis (4 patients, 20%), and posterior uveitis (1 patient, 5%). The event was noticed in the first week after vaccination in 11 patients (55.0%). Twelve patients (60.0%) had a previous history of intraocular inflammatory event. Patients were managed with topical corticosteroids (n = 19, 95.0%), oral corticosteroids (n = 10, 50.0%), or increased dose of immunosuppressive treatment (n = 6, 30.0%). Thirteen patients (65.0%) had a complete resolution of the ocular event without complications. All patients had a final visual acuity unaffected or less than three lines of loss.

Conclusion: Ocular inflammatory events may happen in the paediatric population following COVID-19 vaccination. Most events were successfully treated, and all showed a good visual outcome.

Keywords: COVID-19; ocular inflammation; paediatric; uveitis; vaccination.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • COVID-19 Vaccines* / adverse effects
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Child
  • Child, Preschool
  • Female
  • Glucocorticoids / therapeutic use
  • Humans
  • Immunosuppressive Agents / adverse effects
  • Immunosuppressive Agents / therapeutic use
  • Male
  • Retrospective Studies
  • SARS-CoV-2*
  • Uveitis / diagnosis
  • Uveitis / etiology
  • Vaccination* / adverse effects
  • Visual Acuity / physiology

Substances

  • COVID-19 Vaccines
  • Glucocorticoids
  • Immunosuppressive Agents