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| OPHTHALMIC IMAGE |
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| Year : 2021 | Volume
: 1
| Issue : 2 | Page : 174 |
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Unusual atrophic pattern of sphincter pupillae in a case of chronic uveitis
Faizan Mehmood, Jyoti Shukla, Raka Bharti, Pooja Mishra
Department of Ophthalmology, Acharya Shree Bhikshu Government Hospital, New Delhi, India
| Date of Web Publication | 01-Apr-2021 |
Correspondence Address:
Dr. Faizan Mehmood
Acharya Shree Bhikshu Government Hospital, New Delhi - 110 015
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_2057_20
How to cite this article:
Mehmood F, Shukla J, Bharti R, Mishra P. Unusual atrophic pattern of sphincter pupillae in a case of chronic uveitis. Indian J Ophthalmol Case Rep 2021;1:174 |
How to cite this URL:
Mehmood F, Shukla J, Bharti R, Mishra P. Unusual atrophic pattern of sphincter pupillae in a case of chronic uveitis. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Apr 14];1:174. Available from: https://www.ijoreports.in/text.asp?2021/1/2/174/312354 |
A 45-year-old male visited for follow up of chronic herpes simplex uveitis diagnosed 5 years ago using polymerase chain reaction. He had three relapses in right and one in the left eye. On examination, visual acuity was 6/6 both eyes, no corneal involvement, anterior chambers were quiet and there was remarkable atrophy of the iris sphincter in the right eye and a small atrophic patch in the left eye [Figure 1]. | Figure 1: Right eye shows an unusual pattern of near-total sphincter atrophy (a) with loss of elasticity of the sphincter pupillae as well as extensive posterior synechiae leading to incomplete dilatation of the pupil (b). In the left eye, a small atrophic patch in sphincter pupillae was seen at 6 o'clock (c) which dilated well with mydriatics (d)
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Herpetic anterior uveitis can have acute, chronic, or recurrent course.[1] It is usually unilateral rarely bilateral.[2] Iris atrophy can be patchy, sectoral, or diffuse.[3],[4] Visual prognosis is favorable in patients without corneal scarring.[5]
Declaration of patient consent
The authors certify that informed consent has been obtained from the patient for his images and other clinical information to be reported in the journal. The patient understands that his name and initials will not be published and due efforts will be made to Conceal his identity.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Kardeş E, Bozkurt K, Sezgin Akçay Bİ, Ünlü C, Aydoğan Gezginaslan T, Ergin A. Clinical features and prognosis of herpetic anterior uveitis. Turk J Ophthalmol 2016;46:109-13.  |
| 2. | de-la-Torre A, Valdes-Camacho J, Foster CS. Bilateral herpes simplex uveitis: Review of the literature and own reports. Ocul Immunol Inflamm 2017;25:497-502. |
| 3. | Tabbara KF, Chavis PS. Herpes simplex anterior uveitis. Int Ophthalmol Clin 1998;38:137-47. |
| 4. | Chan NS, Chee SP. Demystifying viral anterior uveitis: A review. Clin Exp Ophthalmol 2019;47:320-33. |
| 5. | Marsh RJ, Easty DL, Jones BR. Iritis and iris atrophy in Herpes zoster ophthalmicus. Am J Ophthalmol 1974;78:255-61. |
[Figure 1]
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