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Uveitis related to anterior segment procedure

Poster Details

First Author: F.March de Ribot SPAIN

Co Author(s):    P. Lopez Lizarraga   A. March de Ribot   F. Graue Wiechers        

Abstract Details



Purpose:

Sympathetic ophthalmia is an unusual granulomatous panuveitis that occurs usually related to a trauma or a surgery in the second eye. We aim to explain a clinical case, that is the first reported of sympathetic ophthalmia secondary to corneoscleral transplant surgery.

Setting:

Instituto de Oftalmología Fundación Conde de Valenciana, Universidad Nacional Autónoma de México.

Methods:

35 years old man with an ophthalmologic history of ocular trauma in the right eye with a penetrating wound that required a corneoscleral transplant operation 3 weeks before. The right eye had a vision of hand movements and the left eye of 20/200. The left eye had ciliary and low conjunctival hyperemia, endothelial keratic precipitates and synechiae. The anterior chamber in the left eye presented moderate tyndall. The fundoscopy of the left eye showed clear vitreous, retina thickened with presence of macular folds and hyperemic papilla with poorly defined.

Results:

The prescribed treatment of the right eye remained and treatment was performed in the left eye with topical prednisolone every hour, cycloplegic every 8 hours and intravenous corticosteroids: methylprednisolone 1 mg / kg for 3 days, followed by oral treatment regimen prednisolone. The outcome was positive with improvement of the visual acuity of the left eye to 20/40. The patient didn't realize the follow-up.

Conclusions:

Prompt diagnosis is mandatory in Sympathetic ophthalmia, treatment with systemic corticosteroids and immunosuppressant medication are the best approach. It is reasonable to think that corneoscleral transplant surgery can be related to Sympathetic ophthalmia in this case cause of the time correlation and the possibility of ocular trauma during the procedure. FINANCIAL INTEREST: NONE

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