Open AccessEarly presentation of sympathetic ophthalmia in optical coherence tomography studies: A case report
Author(s) -
Małgorzata Rogaczewska,
Katarzyna Iwanik,
Marcin Stopa
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_2184_19
Subject(s) - sympathetic ophthalmia , medicine , optical coherence tomography , retinal pigment epithelium , bruch's membrane , uveitis , ophthalmology , presentation (obstetrics) , retinal , pathology , radiology
Sympathetic ophthalmia (SO) is often diagnosed when an inflammatory process appears to be advanced. Herein, the authors present the prospective optical coherence tomography (OCT) study of the onset of SO in the sympathizing eye. Prior to any signs of uveitis, we noted the mild disintegration of the retinal pigment epithelium (RPE) layer, the interdigitation zone (IZ), and the ellipsoid zone (EZ). The complete disruption of IZ and EZ was seen 12 weeks later. After 14 weeks, the uveal inflammation was present, and OCT imaging disclosed the formation of nodule-like lesions between the Bruch's membrane and the RPE layer. The histopathological evaluation of the enucleated exciting eye confirmed the diagnosis of SO.