Symptoms of sympathetic ophthalmia

Update Date: 2022-03-14 Source: Network

summary

Sympathetic ophthalmia refers to bilateral granulomatous uveitis after penetrating injury of one eye or surgery of the inner eye. The injured eye is called induced eye, and the rock without injury is sympathetic eye. Sympathetic ophthalmia is the general name of actors. The latent period after trauma is a few hours long, which can reach more than 40 years. 90% of the cases occur within one year. The most dangerous time is 4-8 weeks after injury, especially when the ciliary body is injured, or when there are uveal incarceration in the wound, or foreign bodies in the eye. So the symptoms of sympathetic ophthalmia tell us.

Symptoms of sympathetic ophthalmia

1. One of the clinical manifestations is eye irritation. After eyeball injury, the wound healing is poor, or the inflammation after healing is persistent, intractable ciliary hyperemia. At the same time, acute irritation symptoms will appear, such as edema in the posterior pole of fundus, congestion of optic papilla, posterior corneal sediment behind cornea, aqueous humor turbidity, iris thickening and darkening.

2. The second clinical manifestation is sympathetic eye. At first, there are slight eye pain, photophobia, tears, blurred vision, irritation symptoms will gradually become obvious, mild ciliary congestion, aqueous humor turbidity, with the development of the disease, there will be unclear iris texture, pupil narrowing, posterior iris adhesion, pupil, marginal tubercle, pupil locking, vitreous opacity and edema.

3. Small yellow and white lesions similar to vitreous verruca can be seen in the peripheral choroid, which will gradually fuse and expand, and spread to the whole choroid. After the recovery period, pigmentation, decolorization and disorder of pigment will be left in the fundus, and the fundus is likely to appear sunset like red change.

matters needing attention

The treatment principle of sympathetic ophthalmia is that once diagnosed, the pupil should be dilated in time to control the inflammation for comprehensive treatment. A large number of corticosteroids can be used, and immunosuppressants can be used if the hormone treatment is invalid or can not continue to be used. For local treatment, antibiotics and adjuvant therapy.