Subconjunctival steroid in the management of uveal juvenile xanthogranuloma: A case report

Uveal juvenile xanthogranuloma (JXG) is a rare intraocular tumor which usually occurs in very young children. Most reported cases of succesfully treated uveal juvenile xanthogranuloma have received systemic steroids, irradation or excision. Some cases have responded to topical steriods alone. We report a case of JXG with recurrent hyphemas and elevated intraocular pressures despite the use of topical steroid. This patient responded to the addition of subconjuctival steroid injection. This is the first report to our knowledge demonstrating a response to periocular steroid supplementation for uveal JXG unresponsive to topical steriods.