| Reach from the Past: A Case of Sympathetic Ophthalmia |
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Hyung Il Kim, In-Beom Kim, Yeonwoong Chung, Yeong Hoon Kim |
Gyeongju St. Mary’s Eye Clinic1, Gyeongju, Korea
Department of Anatomy, College of Medicine, The Catholic University of Korea2, Seoul, Korea
Catholic Neuroscience Institute, College of Medicine, The Catholic University of Korea3, Seoul, Korea
Department of Ophthalmology and Visual Science, St. Vincent’s Hospital, The Catholic University of Korea4, Suwon, Korea
Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea5, Seoul, Korea |
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Received: 20 May 2015 • Revised: 26 May 2015 • Accepted: 29 May 2015 |
| Abstract |
Purpose: We report a rare case of suspected sympathetic ophthalmia.
Case summary: A 47 year-old man presented with ocular pain for 1 month and decreased visual acuity in the right eye for 10 months. He had suffered a 3 mm corneal laceration near the limbus at 2 o’clock position in the left eye 15 months ago during work by a piece of iron that was sutured at a local clinic. The wound had healed without any problem, but uveitis had developed subsequently. Final visual acuity of the left eye had been light positive. Visual acuity was 30/200 (40/200 with correction) in the right eye at initial visit. Mild chamber reaction was observed. Initial steroid treatment was insufficient to treat the uveitis, so additional cyclosporin (25 mg qid) was used, resulting in improvement. Three months later, visual acuities of both eyes were maintained at 60/200 and the patient was clear of any symptoms.
Conclusions: Sympathetic ophthalmia must be considered in regard to the individual patient’s background, and aggressive treatment may achieve satisfactory results.
Ann Optom Contact Lens 2015;14(2):104-106 |
| Key Words:
Cyclosporin, Sympathetic ophthalmia, Uveitis |
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