1. AdityaSudhalkar
01-05-2015
Eye Hospital and Retina Centre, Baroda
www.sudhalkareyehospital.com

2.  55 years/Female
 Housewife, Muslim
 Dahod

3.  Sudden onset DOV & metamorphopsia-15 days
 Painless
 K/C/O- DM type II, fluctuating control
 F/H/O cataract surgery in mother

4.  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

12.  BE: Cataract
 L.E.: Multifocal choroiditis
 Investigate for choroiditis
 Immunosuppressive therapy
 Physician reference

13.  Intravitrealdexamethasoneimplant(Ozurdex,
Allergan India Pvt. Ltd)
 Postoperative topical antibiotics for a week
 Review 1 week

15.  Vision L.E.-20/30p
 A/S: Unchanged
 IOP: 16 mm Hg
 P/S: As shown

18.  Continue systemic control
 Review in a month

19.  Vision: L.E.-20/30-20/25
 IOP: L.E.- 15 mm Hg
 A/S: Unremarkable

21.  Asked to review in one month

23.  Treatment option for unilateral choroiditis
 Systemic contraindications-bilateral therapy?
 Long term follow up, multiple injections