Postsurgical sympathetic ophthalmia: retrospective analysis of a rare entity

• Published in: International ophthalmology Vol. 38; no. 6; pp. 2487 - 2493
• Main Authors: Dutta Majumder, Parthopratim, Anthony, Eliza, George, Amala Elizabeth, Ganesh, Sudha K., Biswas, Jyotirmay
• Format: Journal Article
• Language: English
• Published: Dordrecht Springer Netherlands 01.12.2018; Springer Nature B.V
• Subjects: Adolescent; Adult; Aged; Cataracts; Child; Eye (anatomy); Female; Humans; Immunosuppressive Agents - therapeutic use; Kaplan-Meier Estimate; Male; Males; Medicine; Medicine & Public Health; Middle Aged; Mutton; Ophthalmia; Ophthalmia, Sympathetic - pathology; Ophthalmia, Sympathetic - physiopathology; Ophthalmia, Sympathetic - therapy; Ophthalmologic Surgical Procedures - adverse effects; Ophthalmologic Surgical Procedures - statistics & numerical data; Ophthalmology; Original Paper; Patients; Postoperative Complications; Retrospective Studies; Steroids - therapeutic use; Surgery; Uveitis; Visual Acuity - physiology; Young Adult; Sympathetic ophthalmia; Vitreoretinal surgery; Nongranulomatous uveitis; Scleral buckle
• ISSN: 0165-5701; 1573-2630
• DOI: 10.1007/s10792-017-0759-0

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.