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Cataract surgery as an etiology of sympathetic ophthalmia

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Session Details

Session Title: Presented Poster Session: Cataract Surgery Complications and Management IV

Session Date/Time: Sunday 06/09/2015 | 15:00-16:30

Paper Time: 15:20

Venue: Poster Village: Pod 1

First Author: : M.Flores MEXICO

Co Author(s): :    P. Guzman-Salas   L. Torrado-Cobian   F. Solorio-Martinez        

Abstract Details


We aim to describe the demographic characteristics of patients with the presumptive clinical diagnosis of sympathetic ophthalmia secondary to cataract surgery in a reference center in Mexico.


Patients registered with a medical record at the hospital database at Instituto de Oftalmología – Fundación Conde de Valenciana I.A.P. in Mexico City, Mexico.


Retrospective study. We analyze the medical records of the hospital database of all the patients diagnosed with presumptive sympathetic ophthalmia and a cataract surgery history from September 2007 to September 2014. We include: age, gender, time from the surgery to the onset of symptoms, treatment received and progression of the inciting eye to ptisis bulbi We exclude those patients with an incomplete record.


We found 42 medical records. 36 complete records. Eight patients had a history of cataract surgery. 6 received phacoemulsification + intraocular lens implantation (75%). One underwent extracapsular cataract extraction + intraocular lens implant (12.5%). One patients underwent unspecified congenital cataract extraction surgery + afaquia (12.5%). Mean age: 60.62 years (ranged: 36-75 years-old). 4 females. 4 males. Exciting eye: right eye 50%. Time elapsed from surgery to onset of symptoms: mean 113.75 months (ranged: 16- 540 months). 4 patients required immunosuppressant treatment (2 methotrexate, 1 azathioprine, 1 cyclophosphamide). 2 inciting eyes progressed to ptitis bulbi (25%).


The presumptive diagnosis of sympathetic ophthalmia in patients with a history of cataract surgery was found in both woman and man of all groups of ages. It is an important study because it describes a particular group of patients whom underwent cataract surgery with posterior presumptive affection of the contralateral eye. There was not a specific scheme of treatment. All authors declare: no financial ties to disclose.

Financial Interest:


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