Клинический случай лечения пациента с симпатической офтальмией

Abstract

The clinical case of observation and treatment of patient M., 45 years old, who received in 2011 an open injury of the right eye with a metallic intraocular foreign body, complicated by damage to the lens and hemophthalmos. Primary surgical treatment with diascleral removal of the foreign body was performed on the same day. Subsequently, repeated surgical interventions, including vitreoretinal ones, were performed on the injured eye. 11 years after the injury, the patient was diagnosed with chronic sympathetic uveoneuroretinitis in the left eye. The right eye was enucleated, immunosuppressive therapy was prescribed (systemic therapy with glucocorticosteroids in the form of pulse – therapy with transfer to tablet forms, cyclosporine A). Taking into account the posterior form of sympathetic ophthalmia, verification of the diagnosis at an advanced stage, late start of immunosuppressive therapy, its delayed effect, a strictly individual scheme of long-term controlled treatment of the patient with monitoring of his ophthalmological and somatic status is necessary. Keywords: sympathetic ophthalmia, open globe injury, enucleation, immunosuppressive therapy