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Postsurgical sympathetic ophthalmia: retrospective analysis of a rare entity

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Abstract

Purpose

To describe clinical manifestations, management and visual outcome in postsurgical sympathetic ophthalmia (SO).

Methods

Retrospective study.

Results

Mean age of the patients was 41.1 years, and males were affected 1.8 times than the female. Vitrectomy and scleral buckling were the most common inciting surgeries followed by cataract surgery. Among 10 eyes with anterior uveitis, mutton-fat keratic precipitate was seen in only two eyes. Mean follow-up duration was 1556.50 ± 1470.75 days. Vision significantly improved in 11 patients (78.6%; p = 0.005).

Conclusion

Postsurgical SO is a rare entity, but it is a bilateral blinding disease and SO following surgical intervention can have variable presentations. Rapid, effective management of postsurgical sympathetic ophthalmia can give improved visual outcomes.

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Acknowledgements

We are grateful to Mr. Vishwanathan, the statistician of the Medical Research Foundation, for his valuable contribution in data analysis and interpretation.

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Correspondence to Parthopratim Dutta Majumder.

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The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional ethics committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Dutta Majumder, P., Anthony, E., George, A.E. et al. Postsurgical sympathetic ophthalmia: retrospective analysis of a rare entity. Int Ophthalmol 38, 2487–2493 (2018). https://doi.org/10.1007/s10792-017-0759-0

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