Choroidal neovascularization associated with sympathetic ophthalmia: case report

• Published in: Arquivos brasileiros de oftalmologia Vol. 68; no. 3; pp. 397 - 400
• Main Authors: Vianna, Raul Nunes Galvarro, Ozdal, Pinar, Souza Filho, João Pessoa, Deschênes, Jean
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Conselho Brasileiro de Oftalmologia 01-06-2005
• Subjects: Child; Choroidal Neovascularization - etiology; Eye Injuries, Penetrating - complications; Fluorescein Angiography; Humans; Male; Ophthalmia, Sympathetic - complications; OPHTHALMOLOGY; Visual Acuity; Neovascularização coroidal; Wound healing; Choroidal neovascularization; Cicatrização de feridas; Drogas imunossupressoras; Oftalmia simpática; Ophthalmia, sympathetic; Immunosuppressive agents
• ISSN: 0004-2749; 1678-2925
• DOI: 10.1590/S0004-27492005000300024

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.