[Sympathetic ophthalmia as complication of perforated wound of the eye]

Symphatetic uveitis was a fairly common and described disease in 19th century. Many cases of bilateral blindncss associated with injury and inflammation were diagnosed as sympathetic ophthalmia. A penetrating wound appears to be essential for the development of symphathetic ophthalmia. Since the antigen-presenting cell, of the eye appear to be functionally suppressed in situ, these antigens normaly would produce an inactivation signal. Authors present a case of 7 years old boy, who had injury of the right eye in the school. We performed surgery, but that right eye after several months went to subatrophy. Three months later, he come again with problems in left eye. We diagnosed symphatetic ophthalmia and included high doses of steroids. Two years after he is still on high dose of steroids due to two times of egxazcrbation. A month ago we perfomed phacoecmulsofication cataract syrgery, because a cataract developed due to high doses of steroid therapy.