Postsurgical sympathetic ophthalmia: retrospective analysis of a rare entity

被引:19
作者
Majumder, Parthopratim Dutta [1 ]
Anthony, Eliza [1 ]
George, Amala Elizabeth [1 ]
Ganesh, Sudha K. [1 ]
Biswas, Jyotirmay [1 ]
机构
[1] Sankara Nethralaya, Dept Uvea, Med Res Fdn, Chennai 600006, Tamil Nadu, India
关键词
Sympathetic ophthalmia; Vitreoretinal surgery; Scleral buckle; Nongranulomatous uveitis; FEATURES; UVEITIS;
D O I
10.1007/s10792-017-0759-0
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PurposeTo describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO).MethodsRetrospective study.ResultsMean age of the patients was 41.1years, 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 1556.501470.75days. Vision significantly improved in 11 patients (78.6%; p=0.005).ConclusionPostsurgical 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.
引用
收藏
页码:2487 / 2493
页数:7
相关论文
共 23 条
[1]   Triple agent immunosuppressive therapy in Vogt-Koyanagi-Harada syndrome [J].
Agarwal, Mamta ;
Ganesh, Sudha K. ;
Biswas, Jyotirmay .
OCULAR IMMUNOLOGY AND INFLAMMATION, 2006, 14 (06) :333-339
[2]   Sympathetic ophthalmia following diode laser cyclophotocoagulation [J].
Albahlal, Abdullah ;
Al Dhibi, Hassan ;
Al Shahwan, Sami ;
Khandekar, Rajiv ;
Edward, Deepak P. .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2014, 98 (08) :1101-1106
[3]   India: Towards Universal Health Coverage 4 Health care and equity in India [J].
Balarajan, Y. ;
Selvaraj, S. ;
Subramanian, S. V. .
LANCET, 2011, 377 (9764) :505-515
[4]   32 CASES OF SYMPATHETIC OPHTHALMIA - A RETROSPECTIVE STUDY AT THE NATIONAL-EYE-INSTITUTE, BETHESDA, MD, FROM 1982 TO 1992 [J].
CHAN, CC ;
ROBERGE, FG ;
WHITCUP, SM ;
NUSSENBLATT, RB .
ARCHIVES OF OPHTHALMOLOGY, 1995, 113 (05) :597-600
[5]  
Chu David S., 2002, International Ophthalmology Clinics, V42, P179
[6]   Sympathetic Ophthalmia: Incidence of Ocular Complications and Vision Loss in the Sympathizing Eye [J].
Galor, Anat ;
Davis, Janet L. ;
Flynn, Harry W., Jr. ;
Feuer, William J. ;
Dubovy, Sander R. ;
Setlur, Vikram ;
Kesen, Muge R. ;
Goldstein, Debra A. ;
Tessler, Howard H. ;
Ganelis, Irina Bykhovskaya ;
Jabs, Douglas A. ;
Thorne, Jennifer E. .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2009, 148 (05) :704-710
[7]   Postoperative sympathetic ophthalmia [J].
Gasch, AT ;
Foster, CS ;
Grosskreutz, CL ;
Pasquale, LR .
INTERNATIONAL OPHTHALMOLOGY CLINICS, 2000, 40 (01) :69-84
[8]   SYMPATHETIC OPHTHALMIA FOLLOWING VITRECTOMY [J].
GASS, JDM .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1982, 93 (05) :552-558
[9]   SYMPATHETIC OPHTHALMIA AND VOGT-KOYANAGI-HARADA SYNDROME [J].
GOTO, H ;
RAO, NA .
INTERNATIONAL OPHTHALMOLOGY CLINICS, 1990, 30 (04) :279-285
[10]   Posterior sympathetic ophthalmia: a single centre long-term study of 40 patients from North India [J].
Gupta, V. ;
Gupta, A. ;
Dogra, M. R. .
EYE, 2008, 22 (12) :1459-1464