Sympathetic ophthalmia with sensorineural deafness - report of a case
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- 作者：Ramesh Venkatesh (1)
Manisha Agarwal (1)
Vidya Janaki Ramesh (2)
Shalini Singh (1)
Meha Kantha (1)
Jyotirmay Biswas (3) - 关键词：Sympathetic ophthalmia ; Deafness ; Corticosteroids ; Psychosis
- 刊名：Journal of Ophthalmic Inflammation and Infection
- 出版年：2013
- 出版时间：December 2013
- 年：2013
- 卷：3
- 期：1
- 全文大小：165 KB
- 参考文献：1. Madow B, Galor A, Feuer WJ, Altaweel MM, Davis JL: Validation of a photographic vitreous haze grading technique for clinical trials in uveitis. / Am J Ophthalmol 2011, 152:170鈥?76. e1 CrossRef
2. Jagmohan SMD, Anil AMD, Rajesh JMD: Black-patch psychosis with sympathetic ophthalmitis and deafness. / Indian J Psychia 1984, 26:248鈥?49.
3. Nirankari M, Khanna K, Chawla G, Mathur RP: Sympathetic ophthalmitis with total deafness (a case report). / J All Ind Ophthalmol Soc 1970, 18:29鈥?2.
4. Comer M, Taylor C, Chen S, Martin K, Jordan K, Meyer P: Sympathetic ophthalmia associated with high frequent deafness. / Br J Ophthalmol 2001, 85:496. CrossRef
5. Woods AC: / Uveitis of proven, probable, or suspected viral etiology: endogenous inflammations of the uveal tract. Williams and Wilkins, Baltimore; 1961:269. - 作者单位：Ramesh Venkatesh (1)
Manisha Agarwal (1)
Vidya Janaki Ramesh (2)
Shalini Singh (1)
Meha Kantha (1)
Jyotirmay Biswas (3)
1. Eye Department, Dr Shroff Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, New Delhi, 110002, India
2. ENT Department, Dr Shroff Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, New Delhi, 110002, India
3. Uvea and Ocular Pathology Department, Sankara Nethralaya, 18, College Road, Numgambakkam, Chennai, 600006, India - ISSN：1869-5760
文摘
Background The aim of this study is to report a case of sympathetic ophthalmia with sensorineural hearing loss following penetrating trauma. This is an interventional case report. A 23-year-old male presented with bilateral, sudden, profound visual and hearing loss, disorientation, and dizziness. He had a past history of penetrating trauma with an iron rod in the right eye for which he underwent scleral tear repair, vitreo-retinal surgery with intraocular foreign body removal and silicon oil injection. His best corrected visual acuity in the right eye was counting fingers close to the face and was perception of light in the left eye. Clinical evaluation with slit biomicroscopy, indirect ophthalmoscopy, ultrasonography, and pure tone audiometry was suggestive of sympathetic ophthalmia with sensorineural hearing loss. Treatment was started with intravenous methyl prednisolone, oral corticosteroids, and immunosuppressants. Findings Following treatment, signs of panuveitis showed resolution and improvement in visual, hearing, and neurological symptoms. Conclusions Sympathetic ophthalmia associated with sensorineural deafness and neurological symptoms is a rare clinical syndrome. Prompt diagnosis and treatment with systemic corticosteroids and immunosuppressant medication may result in clinical improvement.