Sympathetic ophthalmia associated with uncomplicated retinal detachment surgery in a young male: An uncommon entity

• Main Authors: Pritam Bawankar, Dipankar Das, Manabjyoti Barman, Ronel Soibam
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2018-01-01
• Series: Journal of Clinical Ophthalmology and Research
• Subjects: Pars plana vitrectomy; retinal detachment; sympathetic ophthalmia
• Online Access: http://www.jcor.in/article.asp?issn=2320-3897;year=2018;volume=6;issue=1;spage=24;epage=26;aulast=Bawankar

Sympathetic ophthalmia (SO) is a rare, bilateral granulomatous panuveitis of unknown etiology that follows accidental or surgical trauma to the uveal tissue of one eye. We describe an unusual case of an 11-year-old male patient who developed SO following retinal detachment (RD) repair in conjunction with pars plana vitrectomy in the right eye (RE). Twenty days following surgery, the patient presented with a recurrent RD in RE and bilateral multifocal exudative RDs, inflamed optic nerve with characteristic changes of SO detected by fluorescein angiography, and ultrasound B-scan in the left eye (LE). Aggressive and effective management with topical and systemic immunosuppressive agents permitted control of the disease with good visual outcome in LE.