Correspondence
Optical coherence tomography as a tool to detect early sympathetic ophthalmia in an asymptomatic patient
Sympathetic ophthalmia (SO) is a rare and dreaded complication of accidental or surgical trauma and results in diffuse granulomatous panuveitis in both the injured (inciting) and contralateral (sympathizing) eye.1 Although the diagnosis of SO is made clinically and supported through histopathologic findings, multimodal imaging has been described to help support the diagnosis after disease onset.2–6 To the author's knowledge, our case is the first in which spectral-domain optical coherence tomography (OCT) was used to diagnose early SO in an otherwise asymptomatic patient.Coronary arteritis: An entity to be considered in giant cell arteritis
Giant cell arteritis (GCA) is a potentially fatal medium- to large-vessel vasculitis with ocular and systemic involvement. The most common ocular manifestation is anterior arteritic ischemic optic neuropathy (AAION), which can be blinding and may affect 1 or both eyes. Systemically, aortitis is the most serious potential complication of GCA, as it can lead to aortic dissection and aortic aneurysms.1
