Sympathetic ophthalmia: Difference between revisions
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Revision as of 03:52, 1 September 2015
Sympathetic Ophthalmia
- Uveitis of both eyes, following trauma to one eye
- Due to autoimmune inflammatory response after introduction of immune system to ocular antigens during trauma
- Can develop within days to years of initial trauma
- Affects 0.03 per 100,000 persons per year
- Symptoms
- Floaters
- Loss of accommodation
- Pain, photophobia
- Prevention
- Because it is so rare, enucleation often not done immediately, if chance of regaining function
- Treatment
- Immunosuppressive therapy
- Mild: local corticosteroids and pupillary dilators
- Severe: Systemic steroids, chlorambucil, cyclophosphamide
- Enucleation can reduce symptoms even after the condition has developed
References
- Rosen's Emergency Medicine
- Sympathetic Ophthalmia: https://en.wikipedia.org/wiki/Sympathetic_ophthalmia. Updated on 17 September 2014.
