Presumed sympathetic ophthalmia after scleral buckling surgery.

PURPOSE: To report an unusual case of sympathetic ophthalmia after successful scleral buckling surgery.

METHODS

The authors reported the clinical manifestation, ocular and systemic workup, and outcome of a 23-year-old woman who presented with reduced vision 3 weeks after successful scleral buckling surgery.

RESULTS

Slit-lamp examination showed a mild anterior chamber and vitreous reaction. Fundus examination showed extensive serous retinal detachment in both eyes. Systemic workup was negative for extraocular disease. The patient was treated with intensive systemic steroid and azathioprine. The inflammation was controlled and serous detachment resolved.

CONCLUSION

Sympathetic ophthalmia can occur after successful scleral buckling surgery.