Cornea - I Free Papers - aioseducation

Cornea Free Papers
RESULTS
All the patients were males between 14-33 years who had history of penetrating
ocular injury and primary surgical treatment (3 cases had primary corneal
tear repair while 2 cases underwent vitrectomy with IOFB removal.)
Injury Primary Penetrating Sympathetic Injury to PK to
history diagnosis Keratoplasty ophthalmia onset SO Time SO Time
Interval Interval
1994 Leucoma 2001 2009 16yrs 8Yrs
1996 Leucoma 2005 2006 11yrs 1Yrs
1996 Leucoma 2000 2001 7yrs 1yr
2001 Corneal decom- 2005 2007 7yrs 3yrs
pensation
(IOFB removal)
2002 Corneal decompensation
(IOFB removal) 2006 2007 6yrs 1yr
Clinical Findings
Sympathizing Eye
Anterior Segment
Granulomatous uveitis-5 cases
Koeppe nodule-1 case
Posterior Segment
Vitritis-5 cases
Dalen Fuchs Nodule-1 case
Exudative RD-1 case
Exciting (Post-Pk)Eye
Signs of diffuse endothelial
rejection- 5 cases
Glaucoma-4 cases
There were no significant extra ocular findings in any of these patients.
Following keratoplasty, the onset of sympathetic ophthalmitis varied between
1-8 years and following primary injury the onset varied between 6-16 years.
According to reports sympathetic ophthalmitis developed in 80% patients
within 3 months of injury and in 90% within 1 year. 5 However isolated cases
as early as 1 week or as late as 66 years after initial injury have been reported . 6
Vision
Sympathizing Eye Sympathizing Eye Exciting Eye
On presentation After treatment Post PK, Graft rejection
CF CF 6/60 HM+ve
6/12 6/9p PL+ve, PR accurate
6/12 6/9p PL+ve, PR accurate
6/60 6/36 PL+ve, PR accurate
CF 1m 6/36p 6/36
503