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Uveitic Macular Edema Nihal Elshakankiry, MD, PhD Professor of Ophthalmology Rowayda M. Amin, MSc Assistant Lecturer of Ophthalmology Alexandria University.

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Presentation on theme: "Uveitic Macular Edema Nihal Elshakankiry, MD, PhD Professor of Ophthalmology Rowayda M. Amin, MSc Assistant Lecturer of Ophthalmology Alexandria University."— Presentation transcript:

1 Uveitic Macular Edema Nihal Elshakankiry, MD, PhD Professor of Ophthalmology Rowayda M. Amin, MSc Assistant Lecturer of Ophthalmology Alexandria University

2 History 11 year old girl complaining of diminution of vision in her OD 1 month prior to presentation 11 year old girl complaining of diminution of vision in her OD 1 month prior to presentation diagnosed with JIA associated uveitis at the age of 5 years diagnosed with JIA associated uveitis at the age of 5 years was on MTX 15mg/wk and topical steroids bid OU was on MTX 15mg/wk and topical steroids bid OU had cataract surgery OD at the age of 9 years had cataract surgery OD at the age of 9 years

3 First presentation  OD:  BCVA: 6/36  AC +0.5 cell, minimal flare  Pseudophakia  Fundus:  Normal disc and vessels  Thickened macula with blunted foveal reflex?  Uveitic macular edema?

4 First presentation OS: OS: BCVA: 6/9 BCVA: 6/9 Trace AC cell, mild flare Trace AC cell, mild flare Posterior synechae Posterior synechae Normal fundus Normal fundus

5 OCT OD-First presentation Cystoid macular edema Cystoid macular edema 472 microns 472 microns

6 Treatment Bump up topical steroids to qid Bump up topical steroids to qid Posterior subtenon steroid injection OD Posterior subtenon steroid injection OD

7 Posterior subtenon steroid injection

8 After One Month OD: 463 microns OD: 463 microns BCVA 6/36 BCVA 6/36 OS: 390 microns OS: 390 microns BCVA 6/18 BCVA 6/18

9 After 3 Months 303 microns 303 microns BCVA 6/9 BCVA 6/9

10 After 5 Months 301 microns 301 microns BCVA 6/9 BCVA 6/9

11 Conclusion  Uveitic macular edema is a vision compromising complication that should be considered despite achieving remission with appropriate immunomodulatory treatment.  It is associated with certain uveitic entities including: JIA, BCR, Behcet’s disease. JIA, BCR, Behcet’s disease.  Adjunctive steroid therapy is often warranted for treatment.


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