Recurrent MEWDS or a related condition (eg,
punctate inner choroidopathy) was considered, but sympathetic
ophthalmia seemed the most likely diagnosis. The patient
was re-treated with steroids with symptomatic improvement.
Because the patient became steroid intolerant (cushingoid
side effects), the patient was controlled with a tapering
dose of prednisone and methotrexate. Her vision has remained
20/20 in the left eye 18 months after presentation. |
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