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Table 1 Characteristics of the case series: Predisposing factors and presenting symptoms

From: Brimonidine-associated uveitis – a descriptive case series

ID

Age, Gender

Eyes affected

Uveitis signs (conjunctival hyperemia present in all affected eyes)

Glaucoma therapy

Brimonidine Use

Type of glaucoma

Prior surgery

Auto- immune or rheumatoid disease

Iris pigmentation

logMAR visual acuity R/ L

1

80’s-90’s, f

Both

KP, cells 1+ (R + L), Synechia (R)

Both: Br

13 mo.

NTG

No

No **

Dark

0.6

0.4

2

60’s-70’s, m

Both

KP, cells 1+ (R + L), synechia (R)

Both: Br, DoTim, Tra

> 4 mo.

OHT

TE, N, 4x CPC, Psph (14 mo.) (R); 4x CPC (L)

Crohn’s disease *

Dark

0.0

0.0

3

80’s-90’s, f

Both

unpigm. KP and cells 1+ (R + L), synechia in the chamber angle (L)

Both: Br, BzTim

n.a.

NTG

Psph (8 mo.) (R); Psph (7 mo.) (L)

No *

0.5

0.1

4

70’s-80’s, f

Both

KP, flare 2+ (R + L)

Both: Br, Do, BimTim, Pil, Acet

n.a.

POAG

Psph (3 years) (R); Psph (3 years) (L)

No

Dark

0.6

0.5

5

60’s-70’s, m

Left

KP (L), flare 2+ (R + L)

Both: Br, BimTim

> 24 mo.

POAG

LTP(R); LTP(L)

Hay fever

Pale

0.0

0.1

6

70’s-80’s, f

Both

KP (L)

Both: Br, DoTim, Taf, Pil, pred

n.a.

PXG

Psph (n.a.), XEN, 2x N (R); Psph (n.a.), 2x XEN, PPV, cyclocryocoagulation (L)

Intermediate uveitis 2 years earlier

Pale

0.22

0.7

7

80’s-90’s, f

Left

KP (L)

Both: Lat; Left: BzBrim

2 mo.

POAG

Psph (n.a.), cyclocryocoagulation (R); Psph (n.a.) (L)

No

Pale

0.5

0.6

8

80’s-90’s, m

Both

KP (R > L)

Both Br, DoTim

6 mo.

PXG (R); PXG - > sec. Glaucoma ^^ (L)

Psph (4 mo.) (R)

No

Pale

0.22

3

9

80’s-90’s, m

Left

KP (L)

Both: Do, Taf; Left: Br

31 mo.

PXG

Psph (3 years), TE, multiple AntiVEGF-IVOMs (R); TE, TE-Revision, Psph (3 years) (L)

No

Pale

0.22

0.22

10

70’s-80‘s, m

Right

KP, DF, cells 2+, flare 2+ (R)

Both: Br, DoTim

18 mo.

POAG - > sec. Glaucoma ^ (R); POAG (L)

Psph (1 year) (R); Psph (1 year) (L)

No **

Pale

0.6

0.4

11

40’s-50’s, m

Left

Both: Br, BzTim

> 49 mo.

sec. Glaucoma

AC-IOL (R); AC-IOL, 2x PPV, AC-IOL-Expl. + Psph (4 years), 2x steroidal IVOMs, CPC (L)

No *

0.4

1.0

12

70’s-80’s, f

Right

whitish KP (R), vascularized cornea (L)

Both: BzBrim, BimTim

24 mo.

POAG

Psph (n.a.) (R); Aphak (n.a.) (L)

No

Pale

0.3

3

13

70’s-80’s, f

Both

large whitish KP (R + L)

Both: BzBrim, Lat

n.a.

PXG

No (R); Psph+iStent+TA (9 mo.) (L)

n.a.

0.4

1.8

14

70’s-80’s, f

Both

KP (R < L), cells 1+, flare 2+

Both: Br, LatTim

0.25 mo.

PXG

Psph (n.a.) (R); Psph (n.a.), TE (L)

Hay fever, allergic asthma **

Dark

0.6

3

15

80’s-90’s, f

Both

KP (R + L), cells 2+, flare 2+

Both: Br, DoTim, Lat, BzTim

n.a.

PXG

Psph (1 year) (R); Psph (1 mo.), TE, N (L)

No

Dark

0.3

0.22

16

80’s-90’s, m

Both

KP (R + L)

Both: Br, BzTim

n.a.

PXG

Psph (1.5 years) (R); Psph (4 years) (L)

No

2.3

2.3

  1. Acet acetazolamide, AC-IOL anteror chamber intraocular lens implantation, BimTim bimatoprost/ timolol fixed combination, Br brimonidine, BzBrim brinzolamide/ brimonidine fixed combination, BzTim brinzolamid/ timolol fixed combination, CPC Cyclophotocoagulation, Do dorzolamide, DoTim dorzolamide/ timolol fixed combination, Expl. Explantation, iStent iStent® implantation, IVOM intravitreal operative medication, Lat latanoprost, LatTim latanoprost/timolol fixed combination, LTP lasertrabeculoplasty, mo. month(s), N Needling, n.a. not applicable, NTG normal tension glaucoma, OHT ocular hypertension, Pil pilocarpine, POAG primary open angle glaucoma, PPV pars plana vitrectomy, pred prednisolone acetate, Psph cataract surgery, PXG pseudoexfoliative glaucoma, TA trabecular meshwork aspiration, Taf tafluprost, TE trabeculectomy, Tra travoprost, XEN XEN® stent implantation. (*) medical evaluation (completely **) done (routine, infectious, and autoimmune laboratory). (^) initial differential diagnosis was phacomorphic keratopathy, in follow-ups after 2 months hyperemic iris vessels were classified as determined by uveitis, after 4 months rubeosis was identified correctly to be due to (^^) the development of ocular ischemia