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Medline ® Abstract for Reference 33

of 'Traumatic hyphema: Management'

Sympathetic ophthalmia after a hyphema due to nonpenetrating trauma.
Bakri SJ, Peters GB 3rd
Ocul Immunol Inflamm. 2005;13(1):85.
PURPOSE: To report a case of sympathetic ophthalmia occurring after nonpenetrating ocular trauma.
METHODS: Interventional case report.
RESULTS: An 18-year-old white male presented with sympathetic ophthalmia four weeks after a hyphema from a nonpenetrating bungee cord injury. Vision was 20/20; there were keratic precipitates, anterior chamber cells, vitritis, and discrete yellow deep choroidal lesions consistent with Dalen-Fuch's nodules OU. The uveitis was treated with topical, oral, and periocular corticosteroids and the oral immunosuppressives cyclosporine and mycophenolate mofetil. Vision remained 20/20 OU for the first year of follow-up; vision OD then deteriorated to 20/50 over the next year with the formation of a posterior subcapsular cataract OD.
CONCLUSION: Sympathetic ophthalmia may result from nonpenetrating ocular trauma. Ophthalmologists should be aware of this as prompt intervention is warranted.
Lions Eye Institute, Albany Medical College, Albany, NY, USA. sbakri@hotmail.com