Javed Rahmah, Al-Khairy Saba, Khan Hamna, Raheel Hamna, Moeed Abdul, Surani Salim
Dow Medical College Dow University of Health Sciences Karachi Pakistan.
Texas A&M University System Health Science Center College Station Texas USA.
Clin Case Rep. 2024 Nov 27;12(12):e9626. doi: 10.1002/ccr3.9626. eCollection 2024 Dec.
Sympathetic ophthalmia (SO) is a rare, bilateral, granulomatous, panuveitis following perforating trauma or surgical intervention in one eye. Here, and to the best of knowledge, we report the first case of SO following an evisceration surgery in Pakistan. A 32-year-old, Pakistani, female presented with pain and decreased visual acuity in her right eye, at Civil Hospital, Karachi, 1 week after an evisceration surgery was performed on her left eye, following corneal perforation due to unresolved keratitis. Diagnosis of SO was made on the basis of clinical presentation and confirmed by slit lamp examination which revealed mutton fat keratic precipitates, posterior synechiae, and optic disc swelling. She was administered high-dose corticosteroids to which she did not respond. She was then prescribed methotrexate which resolved the inflammation and improved visual acuity. Initiating prompt treatment for the sympathizing eye led to effective management of the patient and prevented complete blindness.
交感性眼炎（SO）是一种罕见的双侧肉芽肿性全葡萄膜炎，发生于一只眼睛遭受穿通性外伤或手术干预之后。在此，据我们所知，我们报告了巴基斯坦首例眼球摘除术后发生交感性眼炎的病例。一名32岁的巴基斯坦女性，因左眼因未愈角膜炎导致角膜穿孔而进行眼球摘除术后1周，在卡拉奇市民医院就诊，主诉右眼疼痛、视力下降。根据临床表现诊断为交感性眼炎，并经裂隙灯检查确诊，检查发现羊脂状角膜后沉着物、虹膜后粘连和视盘肿胀。给予高剂量皮质类固醇治疗，但她对此无反应。随后给她开了甲氨蝶呤，炎症得到缓解，视力有所改善。对交感眼及时进行治疗，有效管理了该患者并防止了完全失明。
