Sympathetic ophthalmia associated with ocular and cerebral vasculitis: an angiographic and radiologic study.
OBJECTIVE
To describe a case of sympathetic ophthalmia (SO) associated with ocular and cerebral vasculitis.


METHODS
The authors report a 38-year-old woman who presented with bilateral uveitis 7 years after a penetrating trauma to the right eye. Ocular examination included fundus fluorescein and indocyanine green angiography. Medical history disclosed an episode of dysarthria and right-sided weakness.


RESULTS
Anterior uveitis was present in the previously injured pseudophakic right eye, which harbored a piece of glass stuck in the lower temporal iris. In the left eye, vitreal inflammation with retinal sheathing and subretinal lesions was predominant. Besides retinal vasculitis, fundus angiography showed choroidal vasculitis. Neurologic studies were compatible with cerebral vasculitis.


CONCLUSIONS
In SO, choroidal vasculitis that is invisible clinically can be demonstrated angiographically. Although rare, inflammation can also affect the nervous system.
Kadayifçilar
S
S
Hacettepe University School of Medicine, Department of Ophthalmology, Ankara, Turkey. sibelkd@mailcity.com
Irkeç
M
M
Eldem
B
B
D000328:Adult; D002829:Choroid / Q000098:blood supply; D016572:Cyclosporine / Q000627:therapeutic use; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007208:Indocyanine Green; D008279:Magnetic Resonance Imaging; D009879:Ophthalmia, Sympathetic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D011241:Prednisone / Q000627:therapeutic use; D031300:Retinal Vasculitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome; D014657:Vasculitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D020293:Vasculitis, Central Nervous System / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014792:Visual Acuity
D007166:Immunosuppressive Agents; D016572:Cyclosporine; D007208:Indocyanine Green; D011241:Prednisone