Multimodal imaging of Dalen–Fuchs nodules in sympathetic ophthalmia

Abstract

We present multimodal imaging in a 40-year-old male with sympathetic ophthalmia who presented with decreased vision in the left eye following penetrating injury to the right eye. A characteristic feature in the acute phase of diseases such as Dalen–Fuchs nodule and choroidal ischemia was captured on optical coherence tomography angiography (OCTA) and compared with indocyanine green angiography. After 1 month of oral steroid treatment, a complete resolution of Dalen–Fuchs nodule with improvement in choroidal vasculature was seen on OCTA. Thus, this case highlights the role of OCTA as a promising substitute to invasive angiography for monitoring disease activity.