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Sympathetic ophthalmia in eye with pathologic myopia.
Shintaro Horie1,2, Hiroshi Takase1, Takeshi Yoshida1,2
1Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan.
American Journal of Ophthalmology Case Reports
|February 11, 2022
Summary
This case study highlights serous retinopathy (SO) in pathologic myopia, presenting unique OCT findings due to a thin choroid. Prompt corticosteroid treatment led to rapid resolution of ocular and systemic symptoms.
Area of Science:
- Ophthalmology
- Immunology
- Medical Imaging
Background:
- Serous retinopathy (SO) shares clinical similarities with Vogt-Koyanagi Harada disease (VKH).
- Pathologic myopia often involves significant thinning or absence of the choroid.
Observation:
- An 83-year-old woman presented with uveitis and serous retinal detachments after ocular trauma.
- Systemic symptoms included hearing loss and pleocytosis.
- Swept-source OCT revealed focal choroidal thickening with abrupt edges and damaged Bruch's membrane in areas of relatively normal choroid.
Findings:
- The OCT findings in SO associated with pathologic myopia may differ from those in non-highly myopic eyes.
- The choroidal status (thinning) influences the presentation of choroidal thickening in pathological conditions.
- Systemic corticosteroid therapy resulted in rapid resolution of ocular and systemic manifestations.
Implications:
- This case provides insights into the pathology of SO and the characteristics of pathologic myopia.
- Understanding choroidal status is crucial for interpreting OCT findings in SO.
- The findings suggest that pre-existing choroidal conditions can alter the typical presentation of SO.
Keywords:
Bruch's membraneOCT, Optical Coherence TomographyPathologic myopiaSO, Sympathetic OphthalmiaSympathetic ophthalmiaVKH, Vogt-Koyanagi Harada DiseaseMore Related Videos
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