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  Vol. 96 No. 2, February 1978 TABLE OF CONTENTS
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Sympathetic Ophthalmia

A Long-Term Follow-up

Torrence A. Makley, Jr, MD; Alex Azar, MD

Arch Ophthalmol. 1978;96(2):257-262.


Abstract

• Seventeen cases of sympathetic ophthalmia have been followed up for as long as 23 years (average 10.6 years). Sixty-five percent of those patients treated with corticosteroids retained a visual acuity of 20/60 or better.

Complications were frequent and included secondary glaucoma, cataract, exudative retinal detachment, and choroidal scarring. Uneventful cataract extraction was done on five patients. The glaucoma was difficult to manage, requiring frequent changes in the steroid dosage, and in one patient two glaucoma procedures.

The duration of steroid therapy was quite variable and ranged from a few months to six years or longer. Relapses were common and several occurred many years after the initial episode had resolved.

If the histopathologic picture were moderate or severe, the clinical course most often would be difficult and protracted.



Author Affiliations

From the Departments of Ophthalmology (Dr Makley) and Pathology (Dr Azar), College of Medicine, Ohio State University, Columbus.


Footnotes

Accepted for publication March 28, 1977.

Reprint requests to Department of Ophthalmology, Ohio State University, 456 Clinic Dr, Columbus, OH 43210 (Dr Makley).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

32 Cases of Sympathetic Ophthalmia: A Retrospective Study at the National Eye Institute, Bethesda, Md, From 1982 to 1992
Chan et al.
Arch Ophthalmol 1995;113:597-600.
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Early Stage of Human Sympathetic Ophthalmia: Histologic and Immunopathologic Findings
Muller-Hermelink et al.
Arch Ophthalmol 1984;102:1353-1357.
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Cataract Extraction in the Sympathizing Eye
Reynard and Minckler
Arch Ophthalmol 1983;101:1701-1703.
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