A case of sympathetic ophthalmia presenting with extraocular symptoms and conjunctival pigmentation after repeated 23-gauge vitrectomy.
OBJECTIVE
To report a case of sympathetic ophthalmia presenting with extraocular symptoms after 23-gauge sutureless vitrectomy.


METHODS
Observational case report.


RESULTS
A 29-year-old woman underwent 23-gauge sutureless vitrectomy for spontaneous rhegmatogenous retinal detachment in the right eye. After vitrectomy, dense conjunctival pigmentations developed around the sclerotomy sites. One month after the second vitrectomy for a recurred retinal detachment, she presented with decreased visual acuity and metamorphopsia in both eyes, headache, tinnitus, and facial swelling. She was diagnosed with sympathetic ophthamia and treated with oral prednisolone and cyclosporine. Her visual acuity and symptoms improved after treatment.


CONCLUSIONS
Sympathetic ophthalmia can occur after 23-gauge sutureless vitrectomy and conjunctival pigmentation may be the preceding sign.
Cha
Dong Min
DM
Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.
Woo
Se Joon
SJ
Ahn
Jeeyun
J
Park
Kyu Hyung
KH
D000328:Adult; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D016572:Cyclosporine / Q000627:therapeutic use; D005260:Female; D006261:Headache / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D009879:Ophthalmia, Sympathetic / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D010859:Pigmentation Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D011239:Prednisolone / Q000627:therapeutic use; D012163:Retinal Detachment / Q000473:pathology / Q000601:surgery*; D014012:Tinnitus / Q000188:drug therapy / Q000209:etiology; D014786:Vision Disorders / Q000188:drug therapy / Q000209:etiology; D014792:Visual Acuity / Q000187:drug effects; D014821:Vitrectomy / Q000009:adverse effects*
D016572:Cyclosporine; D011239:Prednisolone