DR. OINDRILA DAS

Abstract

Purpose: To describe a case of an atypical presentation of sympathetic ophthalmia following penetrating trauma to the eye. Case Report: A 37-year-old male with a history of repaired scleral rupture and no perception of light in the right eye presented with sudden painful dimness of vision in the left eye after one and half months. On examination, he had reduced visual acuity. Although the anterior chamber was quiet, posterior segment examination showed subretinal fluid and epiretinal membrane. After ruling out other systemic diseases, he was diagnosed to have sympathetic ophthalmia and started on intravenous Methylprednisolone followed by oral prednisolone which showed a dramatic response. Subretinal fluid resolved and visual acuity returned to 6/6 after prolonged systemic treatment with steroids. Conclusion: Sympathetic ophthalmia can develop without anterior uveitis and prompt diagnosis in the early stage carries a good visual prognosis.