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    Sympathetic Ophthalmia in Pediatric Age Group: Clinical Features and Challenges in Management in a Tertiary Center in Southern India

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    Abstract - Sympathetic Ophthalmia in Pediatric Age Group.pdf (154.9Kb)
    Date
    2013-10-16
    Author
    Kumar, K
    Mathai, A
    Murthy, SI
    Jalali, S
    Sangwan, V
    Pathangay, A
    Reddy, Pappuru R
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    Abstract
    Abstract Purpose: To study the clinical features and visual outcome of sympathetic ophthalmia in pediatric patients attending a tertiary care center. Methods: Retrospective review of patients ≤16 years with sympathetic ophthalmia seen during the period 2001-2011. Results: During this period, 2511 pediatric patients with open globe injuries and 14 patients with sympathetic ophthalmia were seen. Six patients developed sympathetic ophthalmia during follow-up here. The incidence rate of sympathetic ophthalmia is 0.24% (6/2511, 95% CI:0.05-0.43%). The commonest presenting signs were anterior uveitis and exudative detachment. All patients were treated with systemic steroids, while 7 patients received additional immunosuppressive therapy. Eight patients had a follow-up of more than 6 months. Mean presenting best-corrected visual acuity (1.25 ± 1.03 logMAR) in the sympathizing eye improved significant following treatment (0.42 ± 0.80 logMAR, p = 0.003). Conclusions: The incidence of sympathetic ophthalmia was 0.24%. Appropriate immunosuppression can lead to favorable visual outcomes in the sympathizing eye.
    URI
    http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/57739
    http://www.ncbi.nlm.nih.gov/pubmed/24131076
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