Korean J Ophthalmol.  2015 Jun;29(3):205-207. 10.3341/kjo.2015.29.3.205.

A Case of Sympathetic Ophthalmia after 23-Gauge Transconjunctival Sutureless Vitrectomy

Affiliations
  • 1Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. swkang@skku.edu

Abstract

No abstract available.


MeSH Terms

Choroid/pathology
Humans
Male
Middle Aged
Ophthalmia, Sympathetic/*etiology/pathology
Retina/pathology
Retinal Detachment/surgery
Vitrectomy/*adverse effects

Figure

  • Fig. 1 At the onset of sympathetic ophthalmia, color fundus photography in both eyes showed retinal folds (A,B). Optical coherence tomography in both eyes showed subretinal fluid, choroidal thickening, and choroidal folds (C,D). Fundus fluorescein angiography in both eyes showed multiple pinpoint leakages at the level of retinal pigment epithelium in the late phase (E,F). After treatment with oral prednisolone, optical coherence tomography revealed disappearance of the subretinal fluid (G,H).


Reference

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2. Cha DM, Woo SJ, Ahn J, Park KH. A case of sympathetic ophthalmia presenting with extraocular symptoms and conjunctival pigmentation after repeated 23-gauge vitrectomy. Ocul Immunol Inflamm. 2010; 18:265–267.
3. Haruta M, Mukuno H, Nishijima K, et al. Sympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy. Clin Ophthalmol. 2010; 4:1347–1349.
4. Kilmartin DJ, Dick AD, Forrester JV. Sympathetic ophthalmia risk following vitrectomy: should we counsel patients? Br J Ophthalmol. 2000; 84:448–449.
5. Spirn MJ. Comparison of 25, 23 and 20-gauge vitrectomy. Curr Opin Ophthalmol. 2009; 20:195–199.
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