Sympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy

Masatoshi Haruta1, Hirokazu Mukuno2, Kazuaki Nishijima3, Hitoshi Takagi4, Mihori Kita51Department of Ophthalmology, Kurume University School of Medicine, Kurume, Fukuoka, Japan; 2Department of Ophthalmology, Konan Hospital, Kobe, Hyogo, Japan; 3Department of Ophthalmology and Visual Sciences, Kyoto...

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Autores principales:	Masatoshi Haruta, Hirokazu Mukuno, Kazuaki Nishijima, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/65733f6f71ec428c8e66b93b7d21f0dd
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spelling	oai:doaj.org-article:65733f6f71ec428c8e66b93b7d21f0dd2021-12-02T07:36:16ZSympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy1177-54671177-5483https://doaj.org/article/65733f6f71ec428c8e66b93b7d21f0dd2010-11-01T00:00:00Zhttp://www.dovepress.com/sympathetic-ophthalmia-after-23-gauge-transconjunctival-sutureless-vit-a5711https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Masatoshi Haruta1, Hirokazu Mukuno2, Kazuaki Nishijima3, Hitoshi Takagi4, Mihori Kita51Department of Ophthalmology, Kurume University School of Medicine, Kurume, Fukuoka, Japan; 2Department of Ophthalmology, Konan Hospital, Kobe, Hyogo, Japan; 3Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Kyoto, Japan; 4Department of Ophthalmology, St Marianna University School of Medicine, Kawasaki, Kanagawa, Japan; 5Department of Ophthalmology, Hyogo Prefectural Amagasaki Hospital, Amagasaki, Hyogo, JapanPurpose: We report a case of a sympathetic ophthalmia that occurred after 23-gauge transconjunctival sutureless vitrectomy for a retinal detachment.Case report: A 41-year-old Japanese woman underwent combined phacoemulsification with intraocular lens implantation and 23-gauge transconjunctival sutureless vitrectomy for a rhegmatogenous retinal detachment in the right eye. Endolaser photocoagulation and silicone oil tamponade were used to manage inferior retinal holes. Four weeks after the surgery, she returned with a 5-day history of reduced vision and metamorphopsia in her left eye. Slit-lamp examination showed a shallow anterior chamber in the right eye and moderate anterior uveitis bilaterally. Silicone oil bubbles and pigment dispersion were observed in the subconjunctival space adjacent to the right eye&rsquo;s superonasal sclerotomy site. Fundus examination showed multifocal serous retinal detachments in both eyes. A diagnosis of sympathetic ophthalmia was made and the patient was treated with intensive topical and systemic steroids. The subretinal fluid cleared in both eyes following treatment. Twelve months after the onset of inflammation, the patient&rsquo;s condition was stable on a combination of oral cyclosporine and topical steroids. Sunset glow retinal changes remain, but there has been no evidence of recurrent inflammation.Conclusion: Sympathetic ophthalmia can develop after 23-gauge transconjunctival sutureless vitrectomy despite its smaller sclerotomy size. We recommend that special care should be taken to inspect for adequate closure of sclerotomy sites at the end of this operation.Keywords: fluorescein angiography, hypotony, optical coherence tomography, retinal detachment, shallow anterior chamber Masatoshi HarutaHirokazu MukunoKazuaki Nishijimaet alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 1347-1349 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Masatoshi Haruta Hirokazu Mukuno Kazuaki Nishijima et al Sympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy
description	Masatoshi Haruta1, Hirokazu Mukuno2, Kazuaki Nishijima3, Hitoshi Takagi4, Mihori Kita51Department of Ophthalmology, Kurume University School of Medicine, Kurume, Fukuoka, Japan; 2Department of Ophthalmology, Konan Hospital, Kobe, Hyogo, Japan; 3Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Kyoto, Japan; 4Department of Ophthalmology, St Marianna University School of Medicine, Kawasaki, Kanagawa, Japan; 5Department of Ophthalmology, Hyogo Prefectural Amagasaki Hospital, Amagasaki, Hyogo, JapanPurpose: We report a case of a sympathetic ophthalmia that occurred after 23-gauge transconjunctival sutureless vitrectomy for a retinal detachment.Case report: A 41-year-old Japanese woman underwent combined phacoemulsification with intraocular lens implantation and 23-gauge transconjunctival sutureless vitrectomy for a rhegmatogenous retinal detachment in the right eye. Endolaser photocoagulation and silicone oil tamponade were used to manage inferior retinal holes. Four weeks after the surgery, she returned with a 5-day history of reduced vision and metamorphopsia in her left eye. Slit-lamp examination showed a shallow anterior chamber in the right eye and moderate anterior uveitis bilaterally. Silicone oil bubbles and pigment dispersion were observed in the subconjunctival space adjacent to the right eye&rsquo;s superonasal sclerotomy site. Fundus examination showed multifocal serous retinal detachments in both eyes. A diagnosis of sympathetic ophthalmia was made and the patient was treated with intensive topical and systemic steroids. The subretinal fluid cleared in both eyes following treatment. Twelve months after the onset of inflammation, the patient&rsquo;s condition was stable on a combination of oral cyclosporine and topical steroids. Sunset glow retinal changes remain, but there has been no evidence of recurrent inflammation.Conclusion: Sympathetic ophthalmia can develop after 23-gauge transconjunctival sutureless vitrectomy despite its smaller sclerotomy size. We recommend that special care should be taken to inspect for adequate closure of sclerotomy sites at the end of this operation.Keywords: fluorescein angiography, hypotony, optical coherence tomography, retinal detachment, shallow anterior chamber
format	article
author	Masatoshi Haruta Hirokazu Mukuno Kazuaki Nishijima et al
author_facet	Masatoshi Haruta Hirokazu Mukuno Kazuaki Nishijima et al
author_sort	Masatoshi Haruta
title	Sympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy
title_short	Sympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy
title_full	Sympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy
title_fullStr	Sympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy
title_full_unstemmed	Sympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy
title_sort	sympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/65733f6f71ec428c8e66b93b7d21f0dd
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Sympathetic ophthalmia after 23-gauge transconjunctival sutureless vitrectomy

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