International Journal of Ophthalmic PathologyISSN: 2324-8599

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Case Report, Int J Ophthalmic Pathol Vol: 4 Issue: 4

Bilateral Idiopathic Solitary Granuloma of the Uveal Tract: Diagnosis and Treatment

Wonchon Lin1, Robert M Beardsley2, Alison H Skalet2, David J Wilson2, James T Rosenbaum1,2 and Phoebe Lin2*
1Devers Eye Institute- Legacy Health System, Portland, OR, USA
2Casey Eye Institute- OHSU, Portland, OR, USA
Corresponding author : Phoebe Lin
Casey Eye Institute,3375 SW Terwilliger Blvd, Portland, OR 97239, USA
Tel: 503-494-0007
E-mail: [email protected]
Received: September 01, 2015 Accepted: October 08, 2015 Published: October 15, 2015
Citation: Lin W, Beardsley RM, Skalet AH, Wilson DJ, Rosenbaum JT, et al. (2015) Bilateral Idiopathic Solitary Granuloma of the Uveal Tract: Diagnosis and Treatment. J Ophthalmic Pathol 4:4. doi:10.4172/2324-8599.1000166

Abstract

We present a case of sequential bilateral idiopathic solitary granuloma of the uveal tract in a 51 year-old woman, who underwent enucleation in one eye due to complications of this condition, but was then successfully treated in the contralateral eye with anti-tumor necrosis-alpha therapy followed shortly by intraocular steroids and a steroid-releasing implant. Her visual acuity at its worst was 20/200 due to vitreous haze and cystoid macular edema, but then stabilized after successful treatment with a final visual acuity of 20/25 in her only seeing eye at 1 year followup. This represents the first known biopsy-proven case of bilateral idiopathic solitary granuloma, which additionally, has responded favorably to treatment.

Keywords: Ciliary body granuloma; Infliximab; Necrotizing granulomatous disease; Uveitis

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