Sympathetic ophthalmitis following vitreoretinal surgery: Does antecedent trauma make a difference.
Indian J Ophthalmol
;
2015 Sept; 63(9): 692-698
Article
in English
| IMSEAR
| ID: sea-178878
ABSTRACT
Background:
Sympathetic ophthalmitis (SO) has been reported following vitrectomy; however, there is a lack of data on the role of antecedent penetrating ocular trauma impacting the disease manifestation in eyes developing SO following vitrectomy.Aim:
To report differences in the presentation and outcomes of SO in eyes with or without a history of antecedent penetrating trauma; SO being diagnosed after vitreoretinal (VR) surgery.Design:
Comparative case series.Methods:
Seventeen consecutive patients presenting with SO following VR surgery, diagnosed between 1995 and 2011 were included. Eyes with and without prior penetrating injury were included in Group I (n = 7) and Group II (n = 10), respectively. All Group I patients had received systemic steroids prior to presentation. Demographic and clinical parameters were evaluated.Results:
Differences were observed between Group I and Group II mainly with regards to time interval between VR surgery and diagnosis of SO (1.5 months vs. 8 months, P = 0.10), presence of neurosensory detachments (100% vs. 30%, P = 0.01), and the inciting eye vision at presentation (nil light perception in 28.5% vs. 80%, P = 0.049). Other differences observed though not statistically significant were optic disc and retinal vessel involvement (42% vs. 70%, P = 0.28), Dalen‑Fuchs nodules (localized vs. diffuse) and leaks on fundus fluorescein angiography (pin‑head vs. pin‑point leak).Conclusion:
SO in patients with antecedent penetrating ocular trauma present early with the central serous chorioretinopathy‑like picture. Prior use of systemic steroids might have a bearing on the differences in presentation and the visual acuities between the two groups.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Language:
English
Journal:
Indian J Ophthalmol
Year:
2015
Type:
Article
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