Penetrating keratoplasty for the exciting eye in sympathetic ophthalmia

Purpose: We report a case of sympathetic opthalmitis where we performed penetrating keratoplasty on the exciting eye may years after the inital injury. Methods: Case report. Results: After penetrating keratoplsaty, the patient achieved vision of 3/60 from preoperative perception of light. Conclusion: Our experience shows that penetrating keratoplasty can restore useful vision in the previously injured exciting eye in sympathetic ophtalmitis. This case highlights a unique example where the inciting eye has ultimately become the eye with the better vision as the damage was limited.