EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Uveitis
Diagnosis: Sympathetic ophthalmia - the exciting eye

Image Comments:

The patient - a young Indian male - walked into the Clinic as a seeing patient accompanied by a friend. Two months later he was led into the Clinic by the same friend - only now he was completely blind OU. During the inital visit the diagnosis was a normal OS and a slightly injured but otherwise normal OD.There was a wound dehiscence at the limbus at 1 o'clock with minimal incarceration of the iris. The patient was advised to be admitted for a simple surgical repair. He refused treatment and departed the Clinic. Two months later he returned with an exciting eye that appeared as in the photograph. There now was a sympathizing OS which had been ravaged by an overwhelming granulomatous uveitis.

 

 

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