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Home > West Medicine > ENT & Ophthalmology > Ophthalmology
H44.103

Sympathetic Ophthalmia

眼科

Common symptoms

疲劳、耳聋、色素斑、视网膜脱离、睫状充血、视网膜水肿、流泪、耳鸣、葡萄膜炎、视物变形

The pathology of disease

Sympathetic ophthalmia is a bilateral granulomatous panuveitis occurring after a penetrating ocular trauma or surgery to one eye (the exciting eye), typically 2-12 weeks later, causing vision loss in both eyes. It is a T-cell-mediated autoimmune response to uveal antigen. Treatment: urgent high-dose systemic corticosteroids and immunosuppression; enucleation of a non-seeing exciting eye within 2 weeks of injury prevents it; long-term follow-up.

Common Symptoms

Bilateral blurred vision; granulomatous panuveitis; history of penetrating trauma/surgery 2-12 wks prior

Causes and Pathogenesis

Trauma exposes sequestered uveal antigen, triggering bilateral autoimmune granulomatous uveitis.

Treatment

Urgent high-dose systemic steroids/immunosuppression; early enucleation of non-seeing exciting eye prevents it

Preventive Measures

Enucleate non-seeing traumatized eye within 2 weeks; long-term follow-up.

Department to Visit

It is recommended to visit the Ophthalmology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.