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February 1978

Sympathetic Uveitis After Trauma and Vitrectomy

Author Affiliations

From the Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine (Drs Lewis and Gass), and the Department of Ophthalmology, Pacific Medical Center, San Francisco (Dr Spencer).

Arch Ophthalmol. 1978;96(2):263-267. doi:10.1001/archopht.1978.03910050131005

• A case is described in which the earliest clinical manifestations of sympathetic uveitis that occurred after trauma and pars plana vitrectomy were confined primarily to the retina, retinal pigment epithelium, and choroid posteriorly, and resembled focal lesions of acute posterior multifocal placoid pigment epitheliopathy. Similar focal lesions were noted on gross examination of the enucleated inciting eye. Histopathological examination revealed that these lesions were caused by focal choroidal granulomas and overlying Dalen-Fuchs nodules. Sympathetic ophthalmia was also noted in four other patients in whom the condition developed after trauma and vitrectomy.