Cystoid macular oedema in Cogans Syndrome- a case report
IntroductionCogan's Syndrome is typically characterised by a non syphilitic interstitial keratitis (IK), with or without conjunctivitis, iritis or subconjunctival bleeding and progressive sensorineural hearing loss within two years of ocular signs. Atypical ocular manifestations include episcleritis, scleritis, posterior scleritis, retinal artery occlusion, choroiditis, retinal vasculitis, and optic disc oedema.
We report a case of Cogan's syndrome in with recurrent cystoid macular oedema was the main feature. Case Presentation A patient was diagnosed with Cogan's syndrome nearly 2 years after first presentation.
He had cystoid macular edema which failed to respond initially to steroid, methotrexate and azothiaprine however resolved after treatment with mycophenolate mofetil.
Conclusion: Cogan's syndrome is rare and presents a challenge in terms of diagnosis and treatment. Recurrent cystoid macular oedema is a unique finding in this condition and can be difficult to control.
Multidisciplinary management of this multisystem disorder is vital.
Author: Anupama Pherwani, Shveta Bansal, Shailesh Agrawal and Timothy Gillow
Credits/Source: Cases Journal 2008, 1:339
Published on: 2008-11-20
Copyright by the authors listed above - made available via BioMedCentral (Open Access). Please
make sure to read our disclaimer prior to contacting 7thSpace Interactive. To contact our editors, visit our online helpdesk. If you wish submit your own press release, click here.
Social Bookmarking
Digg this! | Post to del.icio.us | Post to Furl | Add to Netscape | Add to Yahoo! | Rojo
|
|
