AdityaSudhalkar
01-05-2015
Eye Hospital and Retina Centre, Baroda
www.sudhalkareyehospital.com
55 years/Female
Housewife, Muslim
Dahod
Sudden onset DOV & metamorphopsia-15 days
Painless
K/C/O- DM type II, fluctuating control
F/H/O cataract surgery in mother
CDVA: R.E.-20/20, L.E.-20/60
IOP: R.E.-14 mm Hg, L.E.-12 mm Hg
A/S: OU- nuclear sclerotic cataract(NS 1)
P/S: As shown
BE: Cataract
L.E.: Multifocal choroiditis
Investigate for choroiditis
Immunosuppressive therapy
Physician reference
Intravitrealdexamethasoneimplant(Ozurdex, Allergan India Pvt. Ltd)
Postoperative topical antibiotics for a week
Review 1 week
Vision L.E.-20/30p
A/S: Unchanged
IOP: 16 mm Hg
P/S: As shown
Continue systemic control
Review in a month
Vision: L.E.-20/30-20/25
IOP: L.E.- 15 mm Hg
A/S: Unremarkable
Asked to review in one month
Treatment option for unilateral choroiditis
Systemic contraindications-bilateral therapy?
Long term follow up, multiple injections