Department of Ophthalmology, Dokkyo Medical University Saitama Medical Centre, Koshigaya, Japan.
Imaizumi Eye Hospital, Koriyama, Japan.
J Int Med Res. 2023 Mar;51(3):3000605231160945. doi: 10.1177/03000605231160945.
Here, two cases involving the oldest reported patients with sympathetic ophthalmia (SO) after non-complicated cataract surgery, are reported. The first case was an 85-year-old female with bilateral decreased vision and headache. The best-corrected visual acuity (BCVA) was 0.8 in the right eye and 1.0 in the left eye at the initial visit. Pseudophakia and choroidal detachments were observed in both eyes, and retinal pigment epithelium undulation was observed by optical coherence tomography. The second case was a 90-year-old male with bilateral optic disc oedema. The BCVA was 0.09 in the right eye and 0.3 in the left eye with pseudophakic eyes. Optic disc oedema and choroidal thickening were observed in both eyes. Both patients were diagnosed with SO, and corticosteroid pulse treatments were started. The BCVA of the first case improved to 0.9 in the right eye and 1.2 in the left eye, while that of the second case reached 0.3 in the right eye and 0.6 in the left eye. No recurrence was observed in either case at 12 months after the initial visit. Both elderly patients with SO were successfully treated.
现报道两例非复杂性白内障手术后发生年龄最大的交感眼炎（SO）病例。第一例为 85 岁女性，双眼视力下降伴头痛。初次就诊时右眼最佳矫正视力（BCVA）为 0.8，左眼为 1.0。双眼均观察到后发性白内障和脉络膜脱离，并通过光学相干断层扫描观察到视网膜色素上皮波动。第二例为 90 岁男性，双眼视盘水肿。右眼 BCVA 为 0.09，左眼为 0.3，均为假晶状体眼。双眼均观察到视盘水肿和脉络膜增厚。两名患者均被诊断为 SO，并开始进行皮质类固醇脉冲治疗。第一例患者右眼 BCVA 提高至 0.9，左眼提高至 1.2，第二例患者右眼提高至 0.3，左眼提高至 0.6。初次就诊后 12 个月，两例均未观察到复发。这两位患有 SO 的老年患者均得到成功治疗。
