A Case Report on Sympathetic Ophthalmia in a Delayed Repair of a Ruptured Globe Following Blunt Ocular Trauma
Purpose
To present a case of a 63-year-old male who developed sympathetic ophthalmia to his left eye six weeks following an open globe injury to his right eye after refusing surgical repair
Methods
This is a case report.
Results
We report a case of a 63-year-old male who developed a blurring of vision and glare of his left eye six weeks following an open globe injury to his right eye after refusing surgical repair. Visual acuity documented at symptom onset was 20/200 on the left eye, and findings indicative of sympathetic ophthalmia included granulomatous anterior uveitis, vitritis, and serous retinal detachment. The patient underwent surgical repair of the inciting eye with a slight improvement of vision on the inciting eye. He was started on oral prednisone (1mg/kg/day) with an improvement of symptoms within a week of initiating therapy with beginning resolution of the serous retinal detachment three days after initiation of treatment and subsequent improvement over subsequent follow-ups – with final visual acuity at 20/30 on the left eye.
Conclusion
Recognition and prompt treatment are crucial in managing sympathetic ophthalmia, which can lead to good visual outcomes for the sympathizing eye.
Conflict of interest
No
Authors 1
Last name
ARRIOLA
Initials of first name(s)
LK
Department
Department of Ophthalmology, Vicente Sotto Memorial Medical Center
City
Cebu City
Country
Philippines
Authors 2
Last name
ONG
Initials of first name(s)
LR
Department
Department of Ophthalmology, Vicente Sotto Memorial Medical Center
City
Cebu City
Country
Philippines
Authors 3
Last name
DIONSON
Initials of first name(s)
M
Department
Department of Ophthalmology, Vicente Sotto Memorial Medical Center
City
Cebu City
Country
Philippines
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