Persumed sympathetic Ophthalmia after scleral buckling surgery: case report

Abstract Background Scleral buckling (SB) is usually considered an extraocular operation premeditated to have a low risk of sympathetic ophthalmia (SO). Here we report rare case presumed SO in young female patient following SB. Case presentation A nineteen-year-old was referred for visual loss her left eye due macula off inferior long-standing rhegmatogenous retinal detachment (RRD). The best corrected acuity (BCVA) 20/400 the eye. SB with 360 degrees encircling band, segmental tire one spot cryoretinopexy at break site, and subretinal fluid drainage performed. BCVA improved 20/80 retina totally attached 1 week after operation. hospital 6 weeks later severe both eyes as counting finger m. Patient examination indicated bilateral multifocal serous (SRD) vitreous cells. patient, diagnosed SO, received intravenous corticosteroid pulse therapy mycophenolate mofetil treatment. inflammation controlled SRD resolved 5-day treatment without being relapsed months. Consequently, became 20/20 20/50 right eye, respectively, findings systemic workup were negative any disease or involvement. Conclusion Since procedure manipulating intraocular tissues, it impose SO. This presented occurrence successful Some factors may induce including inciting choroid pigment epithelium perforating drainage.