Sympathetic Ophthalmitis

Sympathetic ophthalmitis is an uncommon, but feared complication because of its potential to blind both eyes. It can result not only from penetrating trauma or ocular surgery, but also from non-penetrating ocular procedures. Early enucleation of the traumatised eye reduces the risk of occurrence of sympathetic oph-thalmitis in the non-traumatised ("sympathetic") eye. The condition seems to be caused by a T-cell-mediated autoimmune response and can be treated with immu-nosuppressive therapy. Infectious causes must be ruled out before starting this therapy. Histology of the enucleated traumatised eye shows a granulomatous uve-itis with a thickened choroid featuring non-caseating granulomas with a few plasma cells and eosinophils, very similar to sarcoidosis [16]. Fine melanin granules can be seen in the cytoplasm of the histiocytes. The granulomatous inflammatory reaction can spread around small nerves.

Mole Removal

Mole Removal

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