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November 1988

Sympathetic Ophthalmia and Choroidal Neovascularization

Arch Ophthalmol. 1988;106(11):1507-1508. doi:10.1001/archopht.1988.01060140675015

To the Editor.  —Choroidal neovascularization occurs in several conditions in which the common pathogenic feature is a chorioretinal scar with a presumed interruption in Bruch's membrane. We report, to the best of our knowledge, the first case of choroidal neovascularization in a patient with sympathetic ophthalmia. DalenFuchs nodules were observed in the macular area before the development of the choroidal neovascularization. These nodules may also cause an interruption of Bruch's membrane, thus leading to the associated choroidal neovascularization in this clinical entity.

Report of a Case.  —A 4-year-old boy sustained a penetrating knife injury that resulted in a corneoscleral laceration, uveal prolapse, and traumatic cataract of the right eye. His visual acuity was light perception in the right eye and 20/30 OS. Following primary repair of the wound and subsequent lensectomy, his visual acuity declined to 20/80 OS due to sympathetic ophthalmia diagnosed three months after the injury. This uveitis

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