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CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 9  |  Page : 2019-2022

Early presentation of sympathetic ophthalmia in optical coherence tomography studies: A case report


1 Department of Ophthalmology, Chair of Ophthalmology and Optometry, Poznan University of Medical Sciences, Poznan, Poland
2 Department of Clinical Pathomorphology, Poznan University of Medical Sciences, ul. Poznan, Poland

Correspondence Address:
Dr. Marcin Stopa
Department of Ophthalmology, Chair of Ophthalmology and Optometry, Poznan University of Medical Sciences, ul. Grunwaldzka 16/18, Poznan - 60-780
Poland
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2184_19

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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.


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