|Year : 2021 | Volume
| Issue : 2 | Page : 174
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|
Dr. Faizan Mehmood
Acharya Shree Bhikshu Government Hospital, New Delhi - 110 015
Source of Support: None, Conflict of Interest: None
|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 Aug 3];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. It is usually unilateral rarely bilateral. Iris atrophy can be patchy, sectoral, or diffuse., Visual prognosis is favorable in patients without corneal scarring.
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 The patient understands that his name and initials will not be published and due efforts will be made to Conceal his identity.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
Conflicts of interest
There are no conflicts of interest.
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