[LHON-Treatment option despite poor initial visual acuity?] / LHON ­ Behandlungsoption trotz schlechtem Ausgangsvisus?

A case of Leber's hereditary optic neuropathy is reported in order to draw attention to this rare mitochondrial disease in the differential diagnostics and to show current treatment options. In this case despite very poor initial visual acuity and late start of treatment an improvement of visual acuity relevant for the patient could be achieved.

[Steroid implant in treatment of sympathetic ophthalmia : Intravitreal implant of dexamethasone in cystoid macular edema in the context of sympathetic ophthalmia]. / Steroidimplantat bei sympathischer Ophthalmie : Intravitreales Dexamethason-Implantat bei zystoidem Makulaödem im Rahmen einer sympathischen Ophthalmie.

We present the case of a 39-year-old female patient with cystoid macular edema of the left eye in the context of sympathetic ophthalmia. The right eye underwent several surgical interventions of both cornea and retina after ocular trauma and was enucleated after first clinical signs compatible with sympathetic ophthalmia and after exclusion of other infectious/non-infectious etiologies. The patient was treated with parabulbar triamcinolone injections and intravitreal injections of a dexamethasone slow-release implant with a good clinical course with respect to the macular edema. A steroid response did not occur over the treatment period of more than 12 months.