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Case Report
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| Sympathetic ophthalmitis following adherent leucoma: A rare association | ||||||
| Perwez Khan1, Priyanka Shivhare2, Lubna Khan3, Ramesh Chand Gupta4, Zia Siddiqui5 | ||||||
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1MS, (Ophthalmology), Assistant Professor, Department of Ophthalmology, GSVM Medical College, Kanpur, Uttar Pradesh, India.
2MBBS, Junior Resident, Department of Ophthalmology, GSVM Medical College, Kanpur, Uttar Pradesh, India. 3MD (Pathology), Assistant Professor, Department of Pathology, GSVM Medical College, Kanpur, Uttar Pradesh, India. 4MS (Ophthalmology), Professor, Department of Ophthalmology, GSVM Medical College, Kanpur, Uttar Pradesh, India. 5MS (Ophthalmology), Lecturer Department of Ophthalmology, J N Medical College Amu, Aligarh, Uttar Pradesh, India. | ||||||
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| How to cite this article |
| Khan P, Shivhare P, Khan L, Gupta CR, Siddiqui Z. Sympathetic ophthalmitis following adherent leucoma: A rare association. International Journal of Case Reports and Images 2014;5(4):273–276. |
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Abstract
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Introduction:
Sympathetic ophthalmitis is a rare condition. It occurs due to bilateral granulomatous pan uveitis following penetrating trauma or surgery in one eye. Penetrating injury to eye causes exposure of uveoretinal antigens to regional lymph nodes via conjunctival lymphatics thereby inciting delayed T cell hypersensitivity.
Case Report: A 35-year-old male patient presented with headache and sudden painless dimunition of vision in both eyes preceded by development of adherent leucoma in left eye due to a perforated bacterial corneal ulcer five months before. Best corrected visual acuity was finger counting close to face in both eyes. Anterior segment examination revealed few keratic precipitates (KPs), 1+ cells and retrolenticular flare in both eyes. Fundus examination revealed exudative retinal detachment in right eye but left eye could not be assessed due to adherent leucoma. B-scan ultrasonography (B-scan) revealed exudative retinal detachment in both eyes. Patient was managed medically with intravenous methyl prednisolone 1 g for 3 days followed by oral steroids which led to complete resolution of disease process in both eyes. After treatment the best corrected visual acuity was 20/30 in right and 20/80 in left eye. Conclusion: Patients with adherent leucoma subsequent to a perforated corneal ulcer may remain at an increased risk of developing sympathetic ophthalmitis during their lifetime. However, timely medical intervention can lead to good visual prognosis for both exciting as well as the sympathizing eye. Long-term follow-up is necessary as recurrences following cessation of treatment are known to occur. | |
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Keywords:
Sympathetic ophthalmitis, Adherent leucoma, Perforated corneal ulcer, Exudative retinal detachment, Methyl prednisolone
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Author Contributions
Perwez Khan – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Priyanka Shivhare – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Lubna Khan – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Ramesh Chand Gupta – Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Zia Siddique – Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Perwez Khan et al. 2014; This article is distributed the terms of Creative Commons attribution 3.0 License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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