Open AccessCyclophotocoagulation-induced sympathetic ophthalmia in a Coats' disease patient supported by histopathology and immunohistochemistry
Author(s) -
Pritam Bawankar,
Dipankar Das,
Shahinur Tayab,
Ganesh Chandra Kuri,
Jnanankar Medhi,
Manabjyoti Barman,
Ronel Soibam,
Harsha Bhattacharjee,
Panna Deka,
Diva Kant Misra,
Shriya Dhar
Publication year - 2017
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_228_17
Subject(s) - sympathetic ophthalmia , medicine , histopathology , enucleation , coats' disease , intraocular pressure , ophthalmology , glaucoma , fluorescein angiography , surgery , uveitis , pathology , visual acuity , retinal
We describe a case of a 13-year-old male patient of Coats' disease who developed sympathetic ophthalmia (SO) following contact diode laser cyclophotocoagulation. There was no history of invasive surgery or any perforating injuries preceding cyclodestructive therapy. The eye had neovascular glaucoma secondary to Coats' disease, which was treated once with contact cyclophotocoagulation. Subsequently, the intraocular pressure slowly decreased, and the eye became phthisical. Intraocular inflammation developed in the fellow eye and SO was suspected, which was confirmed by characteristic findings seen on fluorescein angiography. The case was successfully managed with the help of topical and systemic immunosuppression. Enucleation with silicone ball implantation was performed in the right phthisical eye and specimen was sent for histopathological examination. Histopathology and immunostaining supported the diagnosis of SO.