Uveitic Dilemma (Ophthalmology (Eye Care))



Medical Case Details:

An 18-year-old male patient came to my outpatient department with a sudden diminution of vision in the left eye along with photophobia. It was painless and not associated with redness or watering. There is no trauma and no significant history like personal or family history. On local examination, the right eye was 6/6, N-6, and had normal anterior and posterior segments. The left eye counted finger at 1 meter, Mutton Fat Granulomatous Keratic Precipitates involving the whole cornea were seen, pupil sluggishly reacting, and iris color was visible hence minimal cells and flare. On dilation, annular posterior synechiae were visible. The retina was not visible. The patient was sent for evaluation of Sight Threatening Panuveitis of the left eye.


Attached Files:

[Attachments are protected] Please login or sign up as a doctor to view the Attachments.


    Dr. Gopal Damani
    Eye Care Ophthalmologist

    Patient followed up with investigation reports-
    ESR was raised, IgG antibodies to Toxolasma Gondi, Rubella and Cytomegalovirus were positive but their IgM antibodies were negative.
    Rest all investigations were normal and patient was Immunocompetent.

    10.Nov, 05:52pm

    Dr. Gopal Damani
    Eye Care Ophthalmologist

    Patient was started with topical Prednisolone in tapering dose from 6 times to 1 time tapered every week, Homatropine BD and Timolol BD.

    case was discussed with Physician and patient was started with Oral Clindamycin 300 mg qid and Septran ( Pyrimethamine 160 mg + Sulfa methoxasole 800mg) BD, Prednisolone 60 mg along with Pantoprazole and Calcium supplements for 1 week and will be reviewed then.

    10.Nov, 05:58pm

    Dr. Akshay U. Nayak
    Eye Care Ophthalmologist

    why not increase frequency of steroids and also add oral steroids as per body wt. since we have gotten an antibiotic cover now. How about even considering topical Nsaids.
    if patient is immunocompetent and sero negative, u can consider.
    so i m guessing also there is lot of vitritis.
    can even consider a pst injection of triamcinolone.

    18.Nov, 06:16pm

Are you a doctor?

Please Login to comment or ask a question.

New to icliniq? Sign Up Now




Disclaimer: All medical case discussions published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.