Sympathetic ophthalmia presenting 5 days after penetrating injury

American Journal of Ophthalmology Case Reports
Andrew M WilliamsKen K Nischal

Abstract

To describe a rare case of early sympathetic ophthalmia that presented 5 days after penetrating injury. A 13-year-old boy presented with a penetrating left globe injury from a BB metallic projectile that was emergently repaired. Five days later, routine dilated exam of the right eye revealed interval development of vitritis over the posterior pole. Optical coherence tomography revealed fine, vitreous hyper-reflective material. Intravenous and topical steroid therapy was started, and the patient underwent prompt enucleation of the traumatized eye. Histopathologic examination of the globe demonstrated lymphocytic choroiditis and macrophage infiltration, consistent with prior reports of early sympathetic ophthalmia. The sympathizing eye maintained 20/20 acuity and never caused visual complaints. This is the earliest reported case of sympathetic ophthalmia, to our knowledge, and it presented without visual symptoms only five days after penetrating trauma. This case suggests that routine examination should start before the typical 14 days associated with development of sympathetic ophthalmia.

Citations

Jun 3, 2021·International Journal of Molecular Sciences·Kazadi N MutojiVivien J Coulson-Thomas
Aug 13, 2021·The Journal of International Medical Research·Junhui ShenZhiqing Chen

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cell Atlas of the Human Eye

Constructing a cell atlas of the human eye will require transcriptomic and histologic analysis over the lifespan. This understanding will aid in the study of development and disease. Find the latest research pertaining to the Cell Atlas of the Human Eye here.

Related Papers

Advances in Ophthalmic Plastic and Reconstructive Surgery
N C Charles
Bulletin des sociétés d'ophtalmologie de France
C Jezegabel, C Rossazza
California State Journal of Medicine
C S Nagel
Belgisch tijdschrift voor geneeskunde
J FRANCOIS, L VANHOUTTE
Revista brasileira de oftalmologia
P PERET
© 2021 Meta ULC. All rights reserved