A case of sympathetic uveitis

A 38-year-old man developed sympathetic uveitis on the 26th day after his injury. Heavy systemic corticosteroid therapy did not work well at the early stage. Enucleation was not carried out, and systemic and local steroid therapy were continued persistently. In the fourth month after the onset, visual acuity of the sympathized eye returned abruptly to a normal level. In this case, the mechanism of the abrupt recovery is probably spontaneous improvement, and this case alerts the clinician that the enucleation of the injured eye should seldom be performed even if heavy doses of corticosteroid do not work well at the early stage.