high definition spectral domain optical coherence tomography of retinal pigment epithelial rip in a case of sympathetic ophthalmia高清晰度光谱域光学相干断层扫描的视网膜色素上皮rip交感性眼炎.pdfVIP

Mahendradas et al. Journal of Opthalmic Inflammation and Infection 2013, 3:19 /content/3/1/19 BRIEF REPORT Open Access High definition spectral domain optical coherence tomography of retinal pigment epithelial rip in a case of sympathetic ophthalmia * Padmamalini Mahendradas , Kavitha Avadhani, Bhanumathi Madhavarao, Anand Vinekar, Kodandaramaiah Sahana, Rohit Shetty and Bhujang K Shetty Abstract Background: We are reporting a case of granulomatous panuveitis in the right eye following penetrating injury to the left eye. Findings: A 34-year-old female was diagnosed to have sympathetic ophthalmia on treatment with systemic steroids. Vision did not improve in spite of aggressive systemic steroid therapy. On examination, patient had large retinal pigment epithelial rip nasal to the disc with exudative retinal detachment which was documented with FFA, ICG, and OCT. RPE rip is responsible for the persistent exudative retinal detachment in the right eye. Conclusions: RPE rip can cause decreased vision due to persistence of retinal detachment in a case of sympathetic ophthalmia. Keywords: Sympathetic ophthalmia, RPE rip, SD-OCT Findings On examination, visual acuity of the right eye was Introduction counting fingers 0.5 metres. There was a prosthesis in Sympathetic ophthalmia (SO) is a bilateral granulomatous the left eye socket. Intraocular pressure was 15 mmHg panuveitis in which the sympathising eye suffers granu- in the right eye. Slit lamp biomicroscopic examination lomatous panuveitis after penetrating injury to the fellow revealed pigments on the anterior lens capsule