Sympathetic ophthalmia following vitrectomy for endophthalmitis after intravitreal bevacizumab.

Authors :: Sisk RA
Davis JL
Dubovy SR
Smiddy WE
Source :: Ocular immunology and inflammation [Ocul Immunol Inflamm] 2008 Sep-Oct; Vol. 16 (5), pp. 236-8.
Publication Year :: 2008
Abstract: Purpose: To describe a case of sympathetic ophthalmia following vitrectomy for endophthalmitis after an intravitreal injection of bevacizumab.<br />Design: Retrospective case report.<br />Methods: An 84-year-old male developed sympathetic ophthalmia 4 months after vitrectomy for endophthalmitis following an intravitreal injection. The inciting blind eye was enucleated.<br />Results: Histopathology demonstrated sympathetic ophthalmia and phacoanaphylactic endophthalmitis. Visual acuity improved from 20/200 to 20/30 in the sympathizing eye with a combination of oral prednisone and azathioprine.<br />Conclusions: Sympathetic ophthalmia can develop following exogenous endophthalmitis but has a good visual prognosis with appropriate treatment.

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