Posterior segment manifestations in Fuch’s heterochromic iridocyclitis

Session Details

Session Title: Free Paper Session 10: Uveitis

Session Date/Time: Friday 08/09/2017 | 11:00-12:30

Paper Time: 12:06

Venue: Room 111

First Author: : R.Vala INDIA

Co Author(s): :    P. Mahendradas   A. Kawali                          

Abstract Details

Purpose:

To study the type of posterior segment manifestations in cases diagnosed with Fuch’s Heterochromic Iridocyclitis (FHIC)

Setting:

We conducted our study at Narayana Nethralaya Eye Hospital, Bangalore, India in the Department of Uvea.

Methods:

We conducted a clinical, prospective, interventional study on 22 patients diagnosed with FHIC at Narayana Nethralaya, Bangalore. The inclusion criteria were a confirmed diagnosis of FHIC while the exclusion criteria was the lack of a confirmed diagnosis of FHIC and other ocular co morbidities. A complete ophthalmic examination was done in these patients. Posterior segment manifestations were noted in each one of them. Fundus Fluorescein Angiography (FFA) was ordered in 15 patients out of 22 patients. Aqueous Tap was done in selected cases

Results:

The mean age of all the patients was 34.45 years with an equal preponderance between both genders. Of the 22 patients, 21 patients had a unilateral presentation, while 1 patient had bilateral presentation. On clinical examination, the most common posterior segment manifestation was vitritis(90%), followed by chorioretinal atrophic patch(18%), and hyperemic disc(9%). Central Serous Chorioretinopathy and peripheral retinal degeneration was noted n 1 patient each. The most common FFA feature was perivascular leak (79%) followed by disc hyperfluorescence (71%). AC Tap for Polymerase Chain Reaction was positive for Herpes Simplex Virus and Chikungunya virus in 1 patient each, while rest of the results were inconclusive.

Conclusions:

We know that although FHIC is an anterior segment entity, most of the cases are misdiagnosed as the presence of posterior segment manifestations are not commonly recognized. Thereby, it is important to note these features in such cases. In our study, we saw that FHIC can have atypical presentation in the form of posterior segment manifestations and FFA proves to be useful in such cases.

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