STEROID PULSE THERAPY IN SEVERE SYMPATHETIC OPHTHALMITIS – A CASE SERIES OF 4 PATIENTS

Abstract

Sympathetic ophthalmitis (SO) is a rare bilateral, granulomatous uveitis that occurs following surgical or accidental trauma to one eye. Injured eye is the Exciting eye and the fellow eye is the Sympathizing eye. Most accepted patho-physiology is immune mediated. In this series, 4 patients with varied presentations were started on steroid pulse therapy (SPT) following routine blood investigation. 1 gram i.v methyl-prednisolone was given on 3 consecutive days in 300 ml Normal Saline under close observation. The patients were then shifted to oral steroid which was gradually tapered over 11 days. The patients were followed up for a minimum period of 14 days and the visual outcome was recorded.