Cataract surgery as an etiology of sympathetic ophthalmia

Session Details

Session Title: Presented Poster Session: Cataract Surgery Complications and Management IV

Session Date/Time: Sunday 06/09/2015 | 15:00-16:30

Paper Time: 15:20

Venue: Poster Village: Pod 1

First Author: : M.Flores MEXICO

Co Author(s): :    P. Guzman-Salas   L. Torrado-Cobian   F. Solorio-Martinez        

Abstract Details

Purpose:

We aim to describe the demographic characteristics of patients with the presumptive clinical diagnosis of sympathetic ophthalmia secondary to cataract surgery in a reference center in Mexico.

Setting:

Patients registered with a medical record at the hospital database at Instituto de Oftalmología – Fundación Conde de Valenciana I.A.P. in Mexico City, Mexico.

Methods:

Retrospective study. We analyze the medical records of the hospital database of all the patients diagnosed with presumptive sympathetic ophthalmia and a cataract surgery history from September 2007 to September 2014. We include: age, gender, time from the surgery to the onset of symptoms, treatment received and progression of the inciting eye to ptisis bulbi We exclude those patients with an incomplete record.

Results:

We found 42 medical records. 36 complete records. Eight patients had a history of cataract surgery. 6 received phacoemulsification + intraocular lens implantation (75%). One underwent extracapsular cataract extraction + intraocular lens implant (12.5%). One patients underwent unspecified congenital cataract extraction surgery + afaquia (12.5%). Mean age: 60.62 years (ranged: 36-75 years-old). 4 females. 4 males. Exciting eye: right eye 50%. Time elapsed from surgery to onset of symptoms: mean 113.75 months (ranged: 16- 540 months). 4 patients required immunosuppressant treatment (2 methotrexate, 1 azathioprine, 1 cyclophosphamide). 2 inciting eyes progressed to ptitis bulbi (25%).

Conclusions:

The presumptive diagnosis of sympathetic ophthalmia in patients with a history of cataract surgery was found in both woman and man of all groups of ages. It is an important study because it describes a particular group of patients whom underwent cataract surgery with posterior presumptive affection of the contralateral eye. There was not a specific scheme of treatment. All authors declare: no financial ties to disclose.

Financial Interest:

NONE