A rare case of post traumatic sympathetic ophthalmia

Abstract

This study aims to study a 42-year-old healthy male, presented to the Eye clinic with sudden diminution of vision in his right eye (RE). He had a history of penetrating high-velocity impact to his Left eye (LE) two months back. He was unable to receive immediate proper ophthalmic care owing to COVID restrictions after sustaining trauma and continued with his daily work. On examination, vision in the RE was reduced to finger counting less than 1 feet. Clinical features of RE showed mutton fat keratic precipitates and reaction in anterior chamber and posterior synechiae. LE showed features of a traumatic subluxated cataract with a sclerocorneal injury. Fundus could not be evaluated in both eyes. B scan revealed retinal detachment and chorioretinal thickening in the RE. Patient was immediately started on oral corticosteroids and topical medication and the patient vision had drastically improved to 6/24 in one week and was able to walk around and perform his daily activities by himself. Prompt treatment of a case of sympathetic ophthalmia (SO) is necessary and essential for the patient to recover his vision to a functional capacity. Prompt treatment of the exciting eye with regular monitoring of the other eye for timely diagnosis and management of SO.

Keywords

• cell mediated immunity
• granulomatous uveitis
• sudden diminution of vision
• sympathetic ophthalmitis
• trauma