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2017 ; 65
(8
): 744-746
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Cyclophotocoagulation-induced sympathetic ophthalmia in a Coats disease patient
supported by histopathology and immunohistochemistry
#MMPMID28820164
Bawankar P
; Das D
; Tayab S
; Kuri GC
; Medhi J
; Barman M
; Soibam R
; Bhattacharjee H
; Deka P
; Misra DK
; Dhar S
Indian J Ophthalmol
2017[Aug]; 65
(8
): 744-746
PMID28820164
show ga
We describe a case of a 13-year-old male patient of Coats' disease who developed
sympathetic ophthalmia (SO) following contact diode laser cyclophotocoagulation.
There was no history of invasive surgery or any perforating injuries preceding
cyclodestructive therapy. The eye had neovascular glaucoma secondary to Coats'
disease, which was treated once with contact cyclophotocoagulation. Subsequently,
the intraocular pressure slowly decreased, and the eye became phthisical.
Intraocular inflammation developed in the fellow eye and SO was suspected, which
was confirmed by characteristic findings seen on fluorescein angiography. The
case was successfully managed with the help of topical and systemic
immunosuppression. Enucleation with silicone ball implantation was performed in
the right phthisical eye and specimen was sent for histopathological examination.
Histopathology and immunostaining supported the diagnosis of SO.