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Recurrence of irregularity in retinal pigment epithelium in a case of sympathetic ophthalmia. Observation by optical coherence tomography Akihiro Ishibazawa 1 , Yuji Kato 1 , Atsushi Takahashi 1 , Taiji Nagaoka 1 , Reiko Kinouchi 1 , Hiroyuki Kagokawa 1 , Satoshi Ishiko 1 , Akitoshi Yoshida 1 1Dept of Ophthalmol,Asahikawa Med Coll pp.571-575
Published Date 2009/4/15
DOI https://doi.org/10.11477/mf.1410102681
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Abstract. Purpose:To report a case of sympathetic ophthalmia followed up by optical coherence tomography(OCT). Case:A 67-year-old male suffered corneal perforation by blunt injury in the right eye. Treatment by corneal suture,lensectomy and vitrectomy was followed by uneventful cure. One year later,he presented with headache,hypacusia and blurring in both eyes since a few days before. Findings:Both eyes showed cells in the anterior chamber,keratic precipitates,disc edema,and extensive retinal detachment. OCT showed irregular retinal pigment epithelium. Pulsed corticosteroid was followed by clinical cure one month later. Six weeks later,OCT showed irregular retinal pigment epithelium with no fundus disorders. Increased peroral prednisolone was followed by normalization of OCT findings. He is doing well for 7 months until present. Conclusion:OCT was useful in predicting recurrence of sympathetic ophthalmia.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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