A successful treated sympathetic ophthalmia case without surgery: a case presentation followed monthly by multifocal ERG, FFA, and SD-OCT tests

Session Details

Session Title: Presented Poster Session: Ocular Pathologies

Venue: Poster Village: Pod 3

First Author: : M.Erol TURKEY

Co Author(s): :    R. Duman                       

Abstract Details

Purpose:

Herein we show the changes in multifocal electroretinogram (mfERG), fundus fluorescein angiography (FFA) and spectral domain optical coherence tomography (SD-OCT) of sympathetic ophthalmia patient we closely followed and treated successfully.

Setting:

Afyon Kocatepe University Hospital, Afyon, Turkey

Methods:

We performed mfERG, SD-OCT, fundus imaging and FFA tests at the time of initial diagnosis in our case of sympathetic ophthalmia with a history of previous trauma and preliminary diagnosis with clinical findings and definite diagnosis with detailed ophthalmologic examination and examinations. A weekly follow-up of the oral prednisolone and then azathioprine treatments were followed by a detailed ophthalmologic examination, best corrected visual acuity (BCVA) with Snellen chart and the above tests at each visit. According to SD-OCT and clinical findings, we adjusted the dose of oral prednisolone.

Results:

Unlike most of the sympathetic ophthalmia patient, our case has been following for 8 months and improved visual acuities in the right (sympathized) eye 20/20 in the left (sympathizing) eye 20/66. There is a few patient having 20/20 final visual acuity in the literature search.

Conclusions:

Sympathetic ophthalmia is a rare, bilateral inflammation of the uveal tract following penetrating trauma or surgery in one eye. The intraocular inflammation requires a prompt diagnosis so that the treatment can be initiated as early as possible. And also we can give the last change to eyes before making surgery decision as far as the inflammation on eyes maintain with oral steroid or azathioprine.

Financial Disclosure:

None