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KMID : 1038920150140020104
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Annals of Optometry and Contact Lens
2015 Volume.14 No. 2 p.104 ~ p.106
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Reach from the Past: A Case of Sympathetic Ophthalmia
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Kim Hyung-Il
Kim In-Beom
Chung Yeon-Woong
Kim Yeong-Hoon
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Abstract
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Purpose: We report a rare case of suspected sympathetic ophthalmia.
Case summary: A 47 year-old man presented with ocular pain for 1 month and decreased visual acuity in the right eye for 10 months. He had suffered a 3 mm corneal laceration near the limbus at 2 o’clock position in the left eye 15 months ago during work by a piece of iron that was sutured at a local clinic. The wound had healed without any problem, but uveitis had developed subsequently. Final visual acuity of the left eye had been light positive. Visual acuity was 30/200 (40/200 with correction) in the right eye at initial visit. Mild chamber reaction was observed. Initial steroid treatment was insufficient to treat the uveitis, so additional cyclosporin (25 mg qid) was used, resulting in improvement. Three months later, visual acuities of both eyes were maintained at 60/200 and the patient was clear of any symptoms.
Conclusions: Sympathetic ophthalmia must be considered in regard to the individual patient’s background, and aggressive treatment may achieve satisfactory results.
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KEYWORD
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Cyclosporin, Sympathetic ophthalmia, Uveitis
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