Sympathetic ophthalmitis following adherent leucoma: A rare association

Abstract

Introduction: sympathetic ophthalmitis is a rare condition. It occurs due to bilateral granulomatous pan uveitis following penetrating trauma or surgery in one eye. Penetrating injury to eye causes exposure of uveoretinal antigens to regional lymph nodes via conjunctival lymphatics thereby inciting delayed t cell hypersensitivity. case report: A 35-year-old male patient presented with headache and sudden painless dimunition of vision in both eyes preceded by development of adherent leucoma in left eye due to a perforated bacterial corneal ulcer five months before. best corrected visual acuity was finger counting close to face in both eyes. Anterior segment examination revealed few keratic precipitates (KPs), 1+ cells and retrolenticular flare in both eyes. Fundus examination revealed exudative retinal detachment in right eye but left eye could not be assessed due to adherent leucoma. b-scan ultrasonography (b-scan