[Choroidal neovascularization associated with sympathetic ophthalmia: case report].

Abstract

A 7-year-old boy with sympathetic ophthalmia secondary to penetrating ocular trauma developed choroidal neovascularization in the macular region of the sympathizing eye. Posterior segment biomicroscopy disclosed a single, round, small, slightly elevated yellow-white lesion temporal to the fovea, linked to the temporal edge of the optic disc by a fibrotic band. On fluorescein angiography the round lesion showed a gradual hyperfluorescence, with late staining and leakage, and was interpreted as a fibrovascular scar from previous choroidal neovascularization. Despite intense immunosuppressive therapy, the patient's final visual acuity was 20/400. Although rarely associated with sympathetic ophthalmia, choroidal neovascularization and its cicatricial stages can occur and compromise the visual prognosis of an already debilitated eye. The best course of treatment for choroidal neovascularization in these types of cases has not yet been determined.

• Authors: Raul Nunes Galvarro Vianna, Pinar Ozdal, João Pessoa Souza Filho, Jean Deschênes
• Journal: Arquivos brasileiros de oftalmologia (Arq Bras Oftalmol) 2005 May-Jun Vol. 68 Issue 3 Pg. 397-400 ISSN: 0004-2749 [Print] Brazil
• Vernacular Title: Neovascularização coroidiana associada à oftalmia simpática: relato de caso.
• PMID: 16059577 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Child
• Choroidal Neovascularization (etiology)
• Eye Injuries, Penetrating (complications)
• Fluorescein Angiography
• Humans
• Male
• Ophthalmia, Sympathetic (complications)
• Visual Acuity