PURPOSE:

To report a case of sympathetic ophthalmia (SO) associated with cataract surgery and intraocular lens (IOL) implantation.

METHODS:

Case report.

RESULTS:

A 50-year-old man developed SO two months after complicated cataract surgery and IOL implantation. Adequate and prompt use of immunosuppressive medications and removal of the IOL by pars plana vitrectomy techniques resulted in control of the uveitis with significant visual improvement.

CONCLUSIONS:

PURPOSE:

Post-traumatic endophthalmitis makes up a distinct subset of intraocular infections. The purpose of the present study was to identify the causative organisms and record the visual outcome after infectious endophthalmitis in eyes with penetrating trauma.

METHODS:

We reviewed 18 consecutive cases of culture-positive endophthalmitis that developed after penetrating ocular trauma. All cases were treated with pars plana vitrectomy and intravenous and intraocular antibiotics.

RESULTS:

In this report we describe, herewith, 5 cases of ghost cell glaucoma that followed spontaneous vitreous hemorrhage complicating branch retinal vein occlusion in a phakic eye (one case), and traumatic vitreous hemorrhage (4 cases). Because intraocular pressure was uncontrolled, pars plana vitrectomy was performed to remove the reservoir of ghost cells. Vitrectomy resulted in successful control of intraocular pressure without medications and visual improvement.

We used transscleral Neodymium:YAG laser cyclophotocoagulation (TSYLCC) to treat 47 patients (47 eyes) with end-stage, refractory, or absolute glaucoma. The mean pretreatment intraocular pressure (IOP), 40.5 +/- 10.8 mm Hg, decreased a mean of 13 +/- 8 months following treatment to 15.6 +/- 10.6 mm Hg, a statistically significant change (P < .05). Our overall rate of success (final IOP < or = 25 mm Hg, with or without medications) was 79% (37 eyes).