INTRAVITREAL DEXAMETHASONE IMPLANT FOR MANAGEMENT OF SYMPATHETIC OPHTHALMIA – CASE REPORT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 22
Abstract
PRESENTATION OF THE CASE A 50-year-old male presented to us with the chief complaints of progressive diminution of vision in the left eye since the past one year. He had a past history of open globe injury to his right eye in 2007 while working. No specific systemic illness was reported by him nor any significant drug history or allergy to any drug. CLINICAL DIAGNOSIS Visual Acuity on presentation was finger counting @ 2 meters in the left eye, and no perception of light in the right eye. Intraocular pressure was 16 mm Hg measured by Perkins Tonometer. On slit lamp examination the right eye was phthisical. (Legend 1) Left eye examination showed, keratic precipitates on the endothelium, deep anterior chamber with cells 2+, and pigment dispersion on anterior surface of the lens, with cortical cataract. Posterior segment examination with indirect ophthalmoscope and 20 D lens showed dense vitritis, choroiditis and optic neuritis (Legend 2). Dalen Fuch’s nodules were seen on temporal aspect of the macular area. (Legend 3). Since there was a history of open globe injury in the right eye for which appropriate treatment was not taken, and posterior uveitis with Dalen Fuchs nodules were seen, a clinical diagnosis of sympathetic uveitis was made. The patient was started on oral prednisolone 1 mg/kg body weight and topical difluprednate 4-times a day and topical homatropine eye drops were started. Patient was reviewed after 4 days and visual acuity had improved to 6/120 in left eye, with reduced vitritis and optic neuritis.
Authors and Affiliations
Nishikant Jaywant Borse, Vinay Prasad, Veena Nishikant Borse
Keywords
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- EP ID EP561306
- DOI 10.18410/jebmh/2018/362
- Views 80
- Downloads 0
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