Bilateral uveitis after intravesical BCG immunotherapy for bladder carcinoma

Abstract

A 70 year old man presented to the eye casualty department with a 4 day history of bilateral red, painful, and photophobic eyes. He had no systemic complaints. He had no ophthalmic history of note. He had a medical history of hypertension, gout, and recurrent papillary transitional cell carcinoma of the bladder. Eight weeks previously he had been seen by a urologist for haematuria and increased frequency. A diagnosis of recurrent papillary cell carcinoma was made by cystoscopy and biopsy. A 6 week course of weekly intravesical BCG therapy was commenced. His medications on presentation were Adalat (nifedipine) and amlodipine. He was allergic to penicillin and aspirin.