Sympathetic Ophthalmia Two Weeks After 23-Gauge Vitrectomy

Khatib, Bahaeddin El; Patel, Menka S.; Hacopian, Alexander; Dalal, Monica M.D.; Sen, H. Nida; Patronas, Marena

doi:10.1186/s12348-020-00206-2

Cited by 2 publications

(1 citation statement)

References 13 publications

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“… 6 Some SO cases occur following ocular surgeries, such as RD surgery, cataract surgery, trabeculectomy, and penetrating keratoplasty. 7 PPV reportedly increases the risk of postsurgical SO because this surgery may cause a break in the blood–retinal barrier, which is deemed responsible for SO. 8 – 10 To the best of our knowledge, ours is the first report of postsurgical SO from China.…”

Section: Discussionmentioning

confidence: 99%

Sympathetic ophthalmia after vitreoretinal surgery: a report of two cases

Shen

Zhang

et al. 2021

J Int Med Res

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Sympathetic ophthalmia (SO) is a panuveitis that usually occurs after trauma to one eye. We describe two cases of SO occurring after 23-gauge vitrectomy. Case 1 involved a 66-year-old woman who underwent pars plana vitrectomy (PPV) for a rhegmatogenous retinal detachment. Two months later, she presented with decreased visual acuity (VA) and bilateral uveitis. Case 2 involved a 43-year-old woman who underwent a second PPV for recurrent retinal detachment. Two months later, she presented with bilateral panuveitis. Both patients were diagnosed with SO and were treated with methylprednisolone and cyclosporine. The first patient was further treated with a dexamethasone intravitreal implant (Ozurdex®) owing to the side effects of methylprednisolone. The VA and symptoms improved significantly after treatment in both patients. Bilateral granulomatous panuveitis following PPV should alert surgeons to consider SO. Appropriate interventions for SO can produce positive outcomes.

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