| CASE REPORT |
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| Year : 2018 | Volume
: 11
| Issue : 1 | Page : 49-51 |
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Sympathetic ophthalmia presenting with signs of frosted branch angiitis: Report of a case
Radha Annamalai1, Jyotirmay Biswas2
1 Department of Ophthalmology, Sri Ramachandra University, Chennai, Tamil Nadu, India
2 Department of Ocular Pathology, Sankara Nethralaya, Chennai, Tamil Nadu, India
Correspondence Address:
Jyotirmay Biswas
Department of Ocular Pathology, Sankara Nethralaya, 18, College Road, Nungambakkam, Chennai - 600 006, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ojo.OJO_99_2014
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Sympathetic ophthalmia is an ocular inflammatory disease commonly associated with penetrating trauma. We report a case of sympathetic ophthalmia who had Dalen-Fuchs nodules on presentation and developed a frosted branch angiitis (FBA)-like picture which is not a known feature of this disease. A 25-year-old male patient was seen 8 months following penetrating trauma to the left eye. He was treated with oral steroids and immunosuppressives. Fundus fluorescein angiography confirmed the presence of perivascular retinitis; optical coherence tomography showed retinal thickening and ultrasonography showed peripapillary choroidal thickening. Atypical features such as FBA in cases of sympathetic ophthalmia can be present and can indicate an ongoing active inflammation. Early aggressive management is required to prevent visual morbidity.
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