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Sympathetic ophthalmia following diode laser cyclophotocoagulation
Abdullah Albahlal1, Hassan Al Dhibi1, Sami Al Shahwan1
1King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
The British Journal of Ophthalmology
|April 9, 2014
Summary
Sympathetic ophthalmia (SO) is a rare complication after diode laser cyclophotocoagulation (CPC), often occurring in patients with prior ocular surgery. Early immunosuppressive treatment leads to good outcomes in the affected eye.
Area of Science:
- Ophthalmology
- Immunology
Background:
- Sympathetic ophthalmia (SO) is a rare bilateral uveitis following ocular injury.
- Cases of SO after non-penetrating cyclodestructive procedures like diode laser cyclophotocoagulation (CPC) are reported, but data on inciting factors and outcomes are limited.
Purpose of the Study:
- To investigate inciting factors, clinical features, course, and outcomes of sympathetic ophthalmia following diode laser CPC.
Main Methods:
- Retrospective case series of six patients diagnosed with sympathetic ophthalmia after diode CPC between 2008 and 2013.
- Review of medical records for demographic data, ocular history, laser parameters, clinical presentation, treatment, and outcomes.
Main Results:
- Six patients developed sympathetic ophthalmia after diode CPC (incidence 0.001%).
- Patients had a history of ocular surgery, with or without trauma.
- Presentations varied from anterior segment to panuveitis.
- Treatment with corticosteroids and/or immunosuppressants led to inflammation resolution and vision recovery within 2-48 months.
Conclusions:
- Sympathetic ophthalmia after diode CPC is rare, associated with intraocular surgery and/or trauma.
- Early recognition and aggressive immunosuppressive management are crucial for favorable outcomes.
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