Sympathetic ophthalmia after a hyphema due to nonpenetrating trauma.
OBJECTIVE
To report a case of sympathetic ophthalmia occurring after nonpenetrating ocular trauma.


METHODS
Interventional case report.


RESULTS
An 18-year-old white male presented with sympathetic ophthalmia four weeks after a hyphema from a nonpenetrating bungee cord injury. Vision was 20/20; there were keratic precipitates, anterior chamber cells, vitritis, and discrete yellow deep choroidal lesions consistent with Dalen-Fuch's nodules OU. The uveitis was treated with topical, oral, and periocular corticosteroids and the oral immunosuppressives cyclosporine and mycophenolate mofetil. Vision remained 20/20 OU for the first year of follow-up; vision OD then deteriorated to 20/50 over the next year with the formation of a posterior subcapsular cataract OD.


CONCLUSIONS
Sympathetic ophthalmia may result from nonpenetrating ocular trauma. Ophthalmologists should be aware of this as prompt intervention is warranted.
Bakri
Sophie J
SJ
Lions Eye Institute, Albany Medical College, Albany, NY, USA. sbakri@hotmail.com
Peters
George B
GB
D000293:Adolescent; D016572:Cyclosporine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005131:Eye Injuries / Q000150:complications* / Q000188:drug therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006988:Hyphema / Q000188:drug therapy / Q000209:etiology*; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D009173:Mycophenolic Acid / Q000031:analogs & derivatives* / Q000627:therapeutic use; D009879:Ophthalmia, Sympathetic / Q000188:drug therapy / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000188:drug therapy
D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D016572:Cyclosporine; D009173:Mycophenolic Acid