Sympathetic ophthalmia presenting 5 days after penetrating injury

American Journal of Ophthalmology Case Reports

Ken K. Nischal¹  Charleen T. Chu²  Andrew M. Williams²  Anne M. Shepler³ 

[1] Department of Pathology, University of Pittsburgh Medical Center, 200 Lothrop Street Pittsburgh, Pennsylvania, USA;Department of Ophthalmology, University of Pittsburgh Medical Center, 203 Lothrop Street, Pittsburgh, PA, USA;Department of Pathology, University of Pittsburgh Medical Center, 200 Lothrop Street Pittsburgh, Pennsylvania, USA;

关键词: Sympathetic ophthalmia;    Uveitis;    Trauma;    Pathology;   

DOI  :  

来源: DOAJ

【 摘 要 】

Purpose: To describe a rare case of early sympathetic ophthalmia that presented 5 days after penetrating injury. Observations: 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. Conclusions and importance: 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.

【 授权许可】

Unknown