Complications 6 sectors 8 sectors Total (n = 43) (n = 18) (n = 61) Anterior chamber reaction 13 9 22 Conjunctival hyperemia 10 5 15 Keratic
precipitates 9 6 15 Chemosis 8 6 14 Intraoperative pain 10 3 13 Subconjunctival hemorrhage 6 7 13 Scleral thinning 7 5 12 Foreign body sensation 4 1 5 Superficial punctate keratitis 3 1 4 Corneal edema 1 1 2 Hypotony 1 1 2 Astigmatism (>1 diopter) 1 0 1 Retinal detachment * 1 0 1 Patients with ocular signs mentioned in the table were included for analyses only if such signs occurred or aggravated after the treatment.
This case highlights some typical presenting features of birdshot retinochoroiditis underlining its association with HLA A29 as well as a few atypical features such as fine inferior keratic
precipitates and flame shaped haemorrhages.
Leucocytes are augmented as a result of degeneration of C5 derived chemotactic peptides like cells, keratic
precipitates and hypopyon.
Topical and systemic anti-inflammatory and immunosuppressive medications can completely eliminate inflammatory signs such as keratic
precipitates, aqueous flare, miosis, cortical (equatorial) cataracts, vitreal opacification, and lesions of the fundus or optic nerve head.
In the left eye, slit-lamp examination revealed pigmented granulomatous keratic
precipitates in the corneal endothelium and iris pigments on the lens.
Other findings were corneal Keratic
precipitates, Bullae, Vascularization, new vessels on iris extending to the angle, with synechiae angle closure.
Sarcoid uveitis was diagnosed by characteristic ocular signs of sarcoidosis based on the International Workshop on Ocular Sarcoidosis (IWOS) guidelines of 2009 : (1) mutton-fat keratic
precipitates and iris nodules; (2) nodules in the trabecular meshwork and tent-shaped peripheral anterior synechia; (3) snowball or string-of-pearls vitreous opacities; (4) nodular periphlebitis; (5) multiple chorioretinal lesions; (6) optic disc nodule(s)/granuloma(s) and/or solitary choroidal nodule; and (7) bilaterality.
In the left eye, diffuse, medium-sized brownish-gray keratic
precipitates (KP) were observed in the corneal endothelium (Figure 1) and 2+ cells were noted in the anterior chamber.
Although classic in appearance, other corneal endothelial deposits such as keratic
precipitates should be borne in mind when first diagnosing FCED.
The slit lamp examination was done whenever required particularly to examine transparency of cornea, aqueous flare, keratic
precipitates, extent of lenticular opacities and pigmentary dispersion over lens, to elicit papillary reaction/perception of light in doubtful cases.
Fine, discrete, round, white keratic
precipitates (KP) are characteristic of the disease and may be found on the trabecular meshwork on gonioscopy.
(8) In patients without corneal disease, the diagnosis of herpetic AU was based on clinical findings such as recurrent unilateral inflammatory attacks in the same eye, acute elevation of the intraocular pressure (IOP) (IOP>22 mmHg) during inflammatory episodes, diffusely distributed or localized granulomatous keratic
precipitates (KPs), patchy or sectoral iris atrophy with or without transillumination defects and distorted pupil or spiraling of the iris.