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Case report of sympathetic ophthalmia, manifested with involvement of the anterior segment

V. Haykin, Y. Zdravkov, A. Oscar, Iv. Tanev
Clinic of Ophthalmology, University “Alexandrovska”Hospital, Sofia
Department of Ophthalmology, Medical Faculty, Medical University – Sofia

Sympathetic ophthalmia is a bilateral, T-cell mediated, diffuse granulomatous intraocular inflammation, occurring after a penetrating injury of the eye or following a surgery. The clinical manifestations vary from mild visual loss to total blindness.  In 80% of the cases it is observed within the first 3 months and in 90% within the first year after the accident. The diagnosis is based on medical history and clinical examinations. There are no specific laboratory tests.

We present a case report of a 71 year old male patient with an atypical presentation of sympathetic ophthalmia, involving only the anterior eye segment, without affecting the posterior segment.

In case of severe eye injury, without perspective for preservation or recovery of visual function of the injured eye, inability to restore the integrity of the eye layer by layer and lack of aesthetic function, primary enucleation should be considered. Despite the positive results, the best treatment is prevention.


Ляво око – състояние след тридневно лечение


Дясно око – претърпяло травма

Arevalo JF, Garcia RA, Al-Dhibi HA, Sanchez JG, Suarez-Tata L. Update on sympathetic ophthalmia. Middle East Afr J Ophthalmol. 2012;(1):13-21.

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