[Sympathetic ophthalmia, case report].
We present the case of a 61 years old male, who developed symphathetic ophthalmia, following a penetrating injury in one eye. After the injury had been sutured, the traumatized eye was red and painful. Considering the risk of sympathetic ophthalmia, the doctor decided the enucleation of the injured eye, but the patient refused and he had not come back to the recommended follow-ups. He returned to the hospital seven months later with decreased visual acuity in both eyes, caused by bilateral uveitis. The diagnosis was sympathetic ophthalmia. He improved and recovered an acceptable visual acuity after enucleation of the injured eye and the administration of both topical and systemic steroids. But the premature stopping of the maintenance therapy with low-dose systemic steroids, results in a relapse--a worse uveitis.
Grigorescu
Adina
A
Spitalul Clinic de Urgenţe Oftalmologice Bucure,sti.
Dinu
Doina
D
David
S Urdă Roxana
SU
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001285:Atropine / Q000627:therapeutic use; D004008:Diclofenac / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D015353:Eye Enucleation; D015807:Eye Injuries, Penetrating / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D009184:Mydriatics / Q000627:therapeutic use; D009879:Ophthalmia, Sympathetic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D009883:Ophthalmic Solutions; D012008:Recurrence; D016896:Treatment Outcome
D000893:Anti-Inflammatory Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D009184:Mydriatics; D009883:Ophthalmic Solutions; D004008:Diclofenac; D001285:Atropine; D008775:Methylprednisolone