DR. DIVYASHREE M

Dr.Mamatha B, Dr. NAGESHA CHOKKAHALLI KRISHNAPPA

Abstract

CASE REPORT: A 30yr old male patient presented with painful loss of vision with CFCF in right eye since 3 days, had history of penetrating ocular injury in the left eye a month ago and underwent corneo-scleral tear repair with NO perception of light. He had clinical signs of severe inflammation in Right eye anterior segment. Fundus examination showed multiple pockets of subretinal fluid in the posterior pole with exudative retinal detachment inferiorly. In OCT there was large serous elevation with intra-retinal spilts and hyper-reflective echoes. With clinical diagnosis of Sympathetic Ophthalmia, he was started on IV Methyl prednisolone 1gm IV for 3 days followed by oral steroids and immunosuppressants. At the end of 3months of follow up his BCVA improved to 6/9,N6.

CONCLUSION: Retinal changes and schitic splits are seen prominently at multiple levels which is classical of SO as seen in this case. Timely intervention with appropriate management can arrest permanent visual disability.