Coupon Accepted Successfully!


Sympathetic Ophthalmitis


  1. Bilateral, granulomatous panuveitis*
  2. Occurs after penetrating trauma, or less frequently following intra – ocular surgery.
  3. Traumatized eye is referred as the exciting eye and the fellow eye is sympathizing eye.
  4. 65% of cases occur between 2 weeks and 3 months* after injury.
  5. 90% of cases occur within first year*.
  6. Prodromal symptom in sympathizing eye are:
    1. Photophobia
    2. Blurring of vision due to loss of accommodation 
  1. C/F
    1. Anterior Segment
      1. Red and irritable eye
      2. Earliest sign – Retrolental flare as inflammation starts in ciliary body*
      3. Koeppe nodules
      4. Mutton fat KPs
      5. Posterior synechiae
    2. Posterior Segment
      1. DALEN – FUCHS NODULES* – Small deep, yellow – white spots scattered through out the fundus.
      2. Dalen Fuchs nodules consist of epithelioid cells between retinal pigment epithelium and Bruch’s membrane
      3. Optic nerve head – Oedema
      4. Sub – retinal oedema
  2. Complications
    1. Complicated Cataract          
    2. Secondary Glaucoma          
    3. Phthisis bulbi
  3. Treatment :
    1. Vigorous steroid therapy by all possible routes of administration.
    2. Immuno suppressive therapy* – with chlorambucil, cyclophosphamide or cyclosporin → in severe steroid resistant cases.
    3. Enucleation* –(NOT Evisceration*) within 2 weeks* of injury if above treatment fails.

Test Your Skills Now!
Take a Quiz now
Reviewer Name