Corticodependent bilateral trochleitis

Trochleitis is usually a transient and non-disabling inflammation of the trochlea of superior oblique. The case is presented of a difficult to manage bilateral trochleitis in a 29-year-old woman. After an exhaustive aetiological study with neuro-imaging tests, as well as an analysis of autoimmunity...

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Bibliographic Details
Published inArchivos de la Sociedad Española de Oftalmología (English ed.)
Main Authors Fernández Jiménez-Ortiz, H, Fuente, S M Escribá de la, Yáñez, R Sampedro, Rodríguez, B Maroto, Fernández, N Toledano, Torcal, B Villarrubia
Format Journal Article
LanguageEnglish
Published Spain 21.02.2021
Subjects
Corticosteroids
Trochleitis
Cirugía de estrabismo
Corticosteroides
Strabismus surgery
Trocleítis
Trocleodinia
Trochleodynia
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Summary:Trochleitis is usually a transient and non-disabling inflammation of the trochlea of superior oblique. The case is presented of a difficult to manage bilateral trochleitis in a 29-year-old woman. After an exhaustive aetiological study with neuro-imaging tests, as well as an analysis of autoimmunity and infection, no underlying cause was found. Multiple injections of corticosteroids were required in both eyes, with a partial effect. Surgical intervention was finally decided in order to visually examine the trochlea, take biopsies, and inject methylprednisolone. These were effective in relieving the symptoms. This case is exceptional due to it involving both eyes and its severity, and represented a therapeutic challenge for the clinical team.
ISSN:2173-5794