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