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High definition spectral domain optical coherence tomography of retinal pigment epithelial rip in a case of sympathetic ophthalmia

Padmamalini Mahendradas*, Kavitha Avadhani, Bhanumathi Madhavarao, Anand Vinekar, Kodandaramaiah Sahana, Rohit Shetty and Bhujang K Shetty

Author Affiliations

Department of Uveitis and Ocular Immunology, Narayana Nethralaya and Post Graduate Institute of Ophthalmology, 121/C, Chord Road, Rajaji Nagar 1st ‘R’ Block, 560010, Bangalore, India

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Journal of Ophthalmic Inflammation and Infection 2013, 3:19  doi:10.1186/1869-5760-3-19

Published: 21 January 2013



We are reporting a case of granulomatous panuveitis in the right eye following penetrating injury to the left eye.


A 34-year-old female was diagnosed to have sympathetic ophthalmia on treatment with systemic steroids. Vision did not improve in spite of aggressive systemic steroid therapy. On examination, patient had large retinal pigment epithelial rip nasal to the disc with exudative retinal detachment which was documented with FFA, ICG, and OCT. RPE rip is responsible for the persistent exudative retinal detachment in the right eye.


RPE rip can cause decreased vision due to persistence of retinal detachment in a case of sympathetic ophthalmia.

Sympathetic ophthalmia; RPE rip; SD-OCT