Sympathetic ophthalmia in vater association combined with persisting hyperplastic primary vitreous after cyclodestructive procedure.
Eur J Ophthalmol
; 16(1): 171-2, 2006.
Article
em En
| MEDLINE
| ID: mdl-16496265
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.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Corpo Vítreo
/
Anormalidades Múltiplas
/
Glaucoma de Ângulo Fechado
/
Oftalmia Simpática
/
Anormalidades do Olho
/
Fotocoagulação a Laser
/
Criocirurgia
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article