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Ophthalmic Images |

Fuchs Uveitis Online Only

Simar Rajan Singh, MBBS1; Parul Chawla Gupta, MS1; Jagat Ram, MS1
[+] Author Affiliations
1Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
JAMA Ophthalmol. 2015;133(6):e1576. doi:10.1001/jamaophthalmol.2015.76.
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A woman in her early 20s presented with painless, progressive decrease of vision in her left eye over 2 years. On examination, best-corrected visual acuity was 20/20 OD and 20/100 OS and intraocular pressure was 16 mm Hg OU. The left iris had a moth-eaten appearance, which was in contrast to the normal iris pattern in the right eye. Slitlamp examination and optical coherence tomography of the cornea further revealed deposition of stellate keratic precipitates on the endothelial surface (Figure). Dilated examination showed a posterior subcapsular cataract along with vitreous cells. The patient was diagnosed as having Fuchs uveitis.

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Figure.

Clinical photograph and optical coherence tomographic scan. A, Characteristic moth-eaten appearance of the iris in Fuchs uveitis. B, High-definition optical coherence tomographic scan of the cornea showing deposition of stellate keratic precipitates (arrowhead) on the endothelial surface.

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