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November 1951


Author Affiliations

Dr. Schreck is Professor of Ophthalmology.; From Heidelberg University Eye Hospital; Director: Prof. Dr. E. Engelking.

AMA Arch Ophthalmol. 1951;46(5):489-500. doi:10.1001/archopht.1951.01700020502004

IN A FIRST paper,1 dealing with the nature and the way of migration of sympathetic ophthalmia, I attempted to demonstrate the histopathologic picture in the process by which sympathetic ophthalmia breaks out, persists, and migrates. In sympathetic ophthalmia Type I the seat of irritation and inflammation was found in the lens, the iris, and the ciliary body of the exciting eye, and the specific process was found to proceed from the eyeball as a migrating perivasculitis of the retina and the optic nerve. Analogous to this was the immigration into the sympathizing eye of a periangiitis, which, once it had entered the eye, progressed as a migrating perivasculitis of the retina, leading to anterior uveitis in the sympathizing eye. In Type II sympathetic ophthalmia appears in the exciting eye and, similarly, in the sympathizing eye as an anterior and a posterior uveitis connected by a continuous specific migrating perivascularitis

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