Fernández Jiménez-Ortiz H, Escribá de la Fuente SM, Sampedro Yáñez R, Maroto Rodríguez B, Toledano Fernández N, Villarrubia Torcal B. Corticodependent bilateral trochleitis.
ARCHIVOS DE LA SOCIEDAD ESPANOLA DE OFTALMOLOGIA 2022;
97:340-343. [PMID:
35676027 DOI:
10.1016/j.oftale.2020.12.018]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 12/26/2020] [Indexed: 06/15/2023]
Abstract
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.
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