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Case Reports
. 2012 Aug 21:2012:bcr2012006525.
doi: 10.1136/bcr-2012-006525.

Missed perforation presenting as sympathetic ophthalmia in an adolescent Malay girl

Mae-Lynn Catherine Bastion  1 , Muhaya Hj Mohamad
Affiliations
Case Reports

Missed perforation presenting as sympathetic ophthalmia in an adolescent Malay girl

Mae-Lynn Catherine Bastion et al. BMJ Case Rep. .

Abstract

To describe the rare presentation of sympathetic ophthalmia in a teenage girl with no previous known ocular injury.

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Figures

Figure 1
Figure 1
Anterior segment photograph of the patient's left eye showing prolapsed iris tissue with healed perforation involving the left cornea associated with vascularisation, pupillary distortion and shallow anterior chamber inferotemporally.
Figure 2
Figure 2
Right fundus photograph showing a serous retinal detachment involving the right superotemporal arcade with multiple areas of serous detachment.
Figure 3
Figure 3
Right fundus fluorescein angiogram showing multiple pinpoint areas of leakage at the posterior pole associated with serous detachments and diffuse staining of the optic disc.
Figure 4
Figure 4
Right eye fundus photograph after 6 months of therapy showing complete resolution of the serous detachments and a normal looking fundus.
See this image and copyright information in PMC

References

    1. Tasman T, Jaeger EA, eds. Duanes Ophthalmology on CD-ROM. Philadephia: Lippincott Williams & Wilkins. CD-ROM 2000.
    1. Kilmartin DJ, Dick AD, Forrester JV. Prospective surveillance of sympathetic ophthalmia in the UK and Republic of Ireland. Br J Ophthalmol 2000;84:259–63. - PMC - PubMed
    1. Gurdal C, Erdener U, Irkee M, et al. Incidence of sympathetic ophthalmia after penetrating eye injury and choice of treatment. Ocul Immunol Inflamm 2002;10:223–7. - PubMed
    1. Sharp DC, Bell RA, Patterson E, et al. Sympathetic ophthalmia. Histopathologic and fluorescein angiographic correlation. Arch Ophthalmol 1984;102:232–5. - PubMed
    1. Raynard M, Riffenburgh RS, Maes EF. Effect of corticosteroid treatment and enucleation on the visual prognosis of sympathetic ophthalmia. Am J Ophthalmol 1983;96:290. - PubMed

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