Sympathetic ophthalmia after a hyphema due to nonpenetrating trauma

Ocular Immunology and Inflammation
Sophie J Bakri, George B Peters

Abstract

To report a case of sympathetic ophthalmia occurring after nonpenetrating ocular trauma. Interventional case report. An 18-year-old white male presented with sympathetic ophthalmia four weeks after a hyphema from a nonpenetrating bungee cord injury. Vision was 20/20; there were keratic precipitates, anterior chamber cells, vitritis, and discrete yellow deep choroidal lesions consistent with Dalen-Fuch's nodules OU. The uveitis was treated with topical, oral, and periocular corticosteroids and the oral immunosuppressives cyclosporine and mycophenolate mofetil. Vision remained 20/20 OU for the first year of follow-up; vision OD then deteriorated to 20/50 over the next year with the formation of a posterior subcapsular cataract OD. Sympathetic ophthalmia may result from nonpenetrating ocular trauma. Ophthalmologists should be aware of this as prompt intervention is warranted.

References

Nov 1, 1979·Survey of Ophthalmology·G E Marak
Jul 27, 1999·Ocular Immunology and Inflammation·E M DoddsD M Meisler

Citations

Sep 17, 2008·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Claudia Castiblanco, Ron A Adelman
Dec 28, 2011·Journal of Ophthalmic Inflammation and Infection·Martin GaleaGraeme Williams
May 13, 2006·Eye·A J BullerN P Jones
Apr 8, 2011·Eye & Contact Lens·Silvana GuerrieroMichele Vetrugno
Sep 8, 2012·International Ophthalmology Clinics·Claudia Castiblanco, Ron A Adelman

Related Concepts

Mycophenolate mofetil hydrochloride
Polychemotherapy
Eye Injuries
Glucocorticoid Effect
Hyphema
Immunosuppressive Agents
Mycophenolic Acid
Ophthalmia, Sympathetic
Nonpenetrating Wounds
Restasis

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