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. 2018 Dec;38(6):2487-2493.
doi: 10.1007/s10792-017-0759-0. Epub 2017 Nov 21.

Postsurgical sympathetic ophthalmia: retrospective analysis of a rare entity

Parthopratim Dutta Majumder  1 , Eliza Anthony  2 , Amala Elizabeth George  2 , Sudha K Ganesh  2 , Jyotirmay Biswas  2
Affiliations

Postsurgical sympathetic ophthalmia: retrospective analysis of a rare entity

Parthopratim Dutta Majumder et al. Int Ophthalmol. 2018 Dec.

Abstract

Purpose: To describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO).

Methods: Retrospective study.

Results: Mean age of the patients was 41.1 years, and males were affected 1.8 times than the female. Vitrectomy and scleral buckling were the most common inciting surgeries followed by cataract surgery. Among 10 eyes with anterior uveitis, mutton-fat keratic precipitate was seen in only two eyes. Mean follow-up duration was 1556.50 ± 1470.75 days. Vision significantly improved in 11 patients (78.6%; p = 0.005).

Conclusion: Postsurgical SO is a rare entity, but it is a bilateral blinding disease and SO following surgical intervention can have variable presentations. Rapid, effective management of postsurgical sympathetic ophthalmia can give improved visual outcomes.

Keywords: Nongranulomatous uveitis; Scleral buckle; Sympathetic ophthalmia; Vitreoretinal surgery.

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