A case of sympathetic ophthalmia following vitreous surgery Shin Sasao 1 , Naoki Kimura 2 , Mamoru Uenishi 2 , Akio Yamanaka 2 , Yoshihiko Nakamura 3 , Atsushi Azumi 4 1Dept. of Ophthalmol, Hirohata Works Hosp. 2Dept. of Ophthalmol, Kobe Kaisei Hosp. 3Dept. of Ophthalmol, Wadayama Hosp. 4Dept. of Ophthalmol, Kobe Univ. Sch. of Med. pp.1853-1856
Published Date 1998/11/15
DOI https://doi.org/10.11477/mf.1410906147
  • Abstract
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A 59-year-old female underwent vitrectomy with silicone oil tamponade in her right eye for prolifera-tive vitreoretinopathy after central retinal vein occlusion. The treated eye developed persistent hyphema with fibrinous membrane in the iridopupillary surface 6 months later. The fellow eye developed acute anterior uveitis with fibrinous exudate 8 months after surgery, followed by serous retinal detachment 20 days later. Dysacusia also became manifest. She was positive for HLA DR4. These findings led to the diagnosis of sympathetic ophthalmia. Massive systemic corticosteroid resulted in resolution of hyphema and intraocular inflammation in either eye. This case was unique in that the presence of dense hyphema masked the signs of inflammation in the exciting eye. The late involvement of the sympathized eye also illustrates the variety of clinical manifestations of sympathetic ophthalmia following vitreous surgery.

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