First Presentation – OCT OS

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Presentation transcript:

First Presentation – OCT OS

First Presentation- Diagnostic October 2010 chest X-Ray for ruling out sarcoidosis and tuberculosis: negative Syphilis and borrelia serology: negative Interferon Gamma Release Assay: negative beta-2-microglobuline in urine (increased) and serum (negative)

Diagnosis TINU Syndrome based on: ocular and general history (ARF) clinical findings (bilaterality) increased beta-2-microglobuline in urine (in serum: negative)

First Presentation - October 2010 Therapy prednisolon topical 5x/d scopolamine topical 1x/d prednisolon oral 1mg/kg/d (80mg/d)

Follow up – After 1 Month August 2010 VA: OD/OS 20/20 OD/OS no anterior chamber cells OD/OS dry macula Therapy: scopolamine topical 1x/d, reduction of topical (1 drop less every 3 days) and systemic prednisolone (60mg/kg)

Follow Up – After 1 Month – OCT OD

Follow Up – After 1 Month – OCT OS

Follow up – After 2 Months September 2010 VA: OD/OS 20/20 OD/OS no anterior chamber cells OD/OS no vitreous cells, dry macula Therapy: reduction of systemic prednisolone (20mg/d)