Presumed Sympathetic Ophthalmia Following Nd: YAG Transscleral Cyclophotocoagulation.

S A Pastor, A Iwach, R A Nozik, J Hetherington, R Fellman
Author Information
  1. S A Pastor: Glaucoma Associates of Texas, Dallas, Texas *The Foundation for Glaucoma Research, San Francisco, California; and the daggerCalifornia-Pacific Medical Center, San Francisco, California, U.S.A.

Abstract

A 28-year-old man with iridocorneal endothelial syndrome and three failed trabeculectomies received two treatments of noncontact neody-mium-YAG transscleral cyclophotocoagulation. Four weeks afterwards he presented with the clinical signs of sympathetic ophthalmia in the unoperated eye. Intense topical and subtenons corticosteroids caused resolution of his symptoms without necessitating enucleation of the inciting eye. This represents the third reported case of presumed sympathetic ophthalmia following cyclophotocoagulation.

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