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October 1965

Sympathetic Ophthalmia: Report of a Case Occurring Ten and One-Half Days After Injury

Author Affiliations

Washington, DC
From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology. Special Fellow in Ophthalmic Pathology at the Armed Forces Institute of Pathology, sponsored by the National Institute of Neurological Diseases and Blindness, National Institutes of Health, Bethesda, Md.

Arch Ophthalmol. 1965;74(4):521-524. doi:10.1001/archopht.1965.00970040523014

In the prevention of sympathetic ophthalmia, knowledge of the time interval between injury and the onset of symptoms of uveitis is of great importance. It is generally taught that if enucleation of the injured eye is accomplished within two to three weeks of injury, sympathetic uveitis will not occur in the fellow eye.1,2,3 Cases developing within the first two weeks are quite exceptional. The following histologically confirmed case of sympathetic ophthalmia developed 10½ days after injury.

Report of Case 

Clinical History.  —A 45-year-old white man was struck in his right eye by a fist and noted pain and an immediate loss of vision. These symptoms persisted; seven days later the patient was seen by an ophthalmologist and was hospitalized. Visual acuity at that time was reduced to light perception in his right eye and to 20/70 in his left eye. There was a rupture of the right globe that

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