Abstract:
PURPOSE:To report on the occurrence of histology-proven sympathetic ophthalmia in a patient with VATER association and persisting hyperplastic primary vitreous (PHPV) after a cyclodestructive procedure was performed to treat secondary angle-closure glaucoma. METHODS:The left eye of a 13-year-old boy with VATER association was microphthalmic from birth and had been diagnosed with PHPV at age 1 year. It developed iris neovascularization and secondary angle-closure glaucoma, which was treated by combined cyclocryocoagulation and cyclophotocoagulation. Six weeks later, a bilateral fibrinous iritis developed. Despite intensive topical and systemic steroid treatment, the iritis persisted so that the left blind eye was enucleated. RESULTS:Histology of the enucleated eye showed a marked intraocular inflammation with lymphocytes, epithelioid cells, and multinuclear giant cells grouped around remnants of melanin-bearing cells. CONCLUSIONS:Sympathetic ophthalmia may occur in patients with VATER association and PHPV after a secondary angle-closure glaucoma is treated by a combined cyclocryocoagulation and cyclophotocoagulation. (Eur J Ophthalmol 2006; 16: 171-172).
journal_name
Eur J Ophthalmoljournal_title
European journal of ophthalmologyauthors
Jonas JB,Back W,Sauder G,Junemann U,Harder B,Spandau UHdoi
10.5301/EJO.2008.2546subject
Has Abstractpub_date
2006-01-01 00:00:00pages
171-172issue
1eissn
1120-6721issn
1724-6016pii
058CD78F-ADD5-4A64-9913-473D2E3340FEjournal_volume
16pub_type
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