Sympathetic ophthalmia after successful retinal reattachment surgery with vitrectomy.
OBJECTIVE
To report a case of sympathetic ophthalmia (SO) following one successful pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment.


METHODS
Case report.


RESULTS
A 50-year-old man developed SO 5 weeks after successful repair of rhegmatogenous retinal detachment with PPV and intraocular gas tamponade. The patient presented with bilateral multifocal exudative retinal detachments and inflamed optic nerve with characteristic changes of SO detected by fluorescein angiography, indocyanine green angiography, and optical coherence tomography. Prompt use of systemic steroids and cyclosporin A resulted in control of the uveitis with significant visual improvement.


CONCLUSIONS
PPV should be viewed as a major risk factor for development of SO.
Abu El-Asrar
A M
AM
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. abuasrar@KSU.edu.sa
Al Kuraya
H
H
Al-Ghamdi
A
A
D004396:Coloring Agents; D016572:Cyclosporine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007208:Indocyanine Green; D008297:Male; D008875:Middle Aged; D009879:Ophthalmia, Sympathetic / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000601:surgery*; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D041623:Tomography, Optical Coherence; D014821:Vitrectomy
D004396:Coloring Agents; D005938:Glucocorticoids; D016572:Cyclosporine; D007208:Indocyanine Green; D013459:Sulfur Hexafluoride