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Sympathetic ophthalmia following intraocular surgeries

Session Details

Session Title: Miscellaneous

Session Date/Time: Thursday 17/09/2015 | 11:00-12:30

Paper Time: 12:20

Venue: Athena.

First Author: : M.Tyagi INDIA

Co Author(s): :    A. Mathai   R. Sarangi   R. Reddy Pappuru        

Abstract Details

PURPOSE:To evaluate the clinical presentation, clinical course and outcomes in patients without a history of penetrating ocular trauma who developed sympathetic ophthalmia following intraocular surgeries

Setting:

Retrospective chart review of all cases of Sympathetic Ophthalmia in a tertiary care eye hospital in South India

Methods:

The records of all patients who were diagnosed and treated as Sympathetic Ophthalmia were reviewed . All cases without a previous history of trauma who underwent intraocular surgeries and developed sympathetic ophthalmia were included in the review. All cases were analyzed with respect to clinical presentation, anatomic and visual outcomes

Results:

A total of 131 cases of sympathetic Ophthalmia were diagnosed and treated till December 2014. 12 cases did not have any history of previous antecedent trauma.There were 9 males and 3 females. There was a past history of cataract surgery in 7 cases and a pars palna vitrectomy in 4 cases . One eye had undergone a penetrating keratoplasty for a perforated corneal ulcer. The median age at presentation was 52.5 years, with a range of 27 to 80 years. The time from surgery to diagnosis of sympathetic ophthalmia ranged from 1 month to greater than 6 years. 11 of the 12 patients presented with a decrease in vision as their presenting complaint. 11 patients (91.6%) had a non granulomatous anterior uveitis at time of presentation.10 patients (83%) also had exudative retinal detachment or neuro sensory detachments at time of presentation. 9 patients received IV methyl prednisolone at time of presentation. All patients received systemic steroids and 10 received systemic immunosuppresants.Vision improved in the sympathizing eye with treatment in 10 out of 12 eyes (83%)

Conclusions:

Sympathetic ophthalmia can occasionally be seen in patients who have undergone an intraocular surgery and without penetrating injuries or a history of trauma Persistent or atypical uveitis following an intraocular surgery in the other eye should alert the surgeon to the development of sympathetic ophthalmia

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