The Department of Ophthalmology, Hospital Universitario Vall D' Hebron, Barcelona, Spain.
The Department of Internal Medicine, Hospital Universitario Vall D' Hebron, Barcelona, Spain.
Ocul Immunol Inflamm. 2022 Aug;30(6):1460-1463. doi: 10.1080/09273948.2021.1891261. Epub 2021 Mar 18.
To describe an atypical case of sympathetic ophthalmia. Design: Case report.
A 37 -year-old female presented a 3-day long acute left retroocular pain and photophobia, 1 month after having undergone evisceration of the fellow eye. Upon exploration, the patient presented conjunctival injection, macular retinal folds with peripapillary subretinal fluid, and hypocyanescent choroidal spots on indocyanine green angiography. A sympathetic ophthalmia with a reactive posterior scleritis involvement was diagnosed. The patient underwent treatment with prednisone, mycophenolate, and cyclosporine with slowly tapering, presenting a total recovery over the years.
Sympathetic ophthalmia may present itself atypically as ocular pain with little vision loss secondarily to a mild panuveitis with reactive scleral involvement.
描述一例非典型交感性眼炎。
病例报告。
一名 37 岁女性在对侧眼行眼内容剜除术后 1 个月，出现 3 天的左眼急性眶后疼痛和畏光。探查时，患者出现结膜充血、黄斑视网膜皱褶伴视盘周围视网膜下液，吲哚青绿血管造影显示脉络膜弱荧光斑。诊断为伴有反应性后部巩膜炎的交感性眼炎。患者接受泼尼松、霉酚酸酯和环孢素治疗，并逐渐减量，多年来完全恢复。
交感性眼炎可能表现为眼痛，伴有轻度全葡萄膜炎和反应性巩膜受累，视力下降不明显，表现不典型。
