Viral anterior uveitis: Hit hard, hit fast!

A 16-year-old girl presented with redness and blurring of vision in her left eye, along with headache. On examination, she had granulomatous keratic precipitates and raised intraocular pressure. She was treated with oral antivirals, antiglaucoma medications, and topical steroids for which a prompt response was noted with no recurrence at follow-up of more than six months. Viral anterior uveitis is a rare cause of unilateral granulomatous uveitis in pediatric patients. Often, viral etiology is not considered and may lead to recurrences if treated with antiglaucoma medications and topical steroids alone. Thus, early recognition and appropriate diagnosis are vital.