%0 Journal Article
%T Presumed sympathetic ophthalmia following scleral buckling surgery: A case report and review of the literature.
%A Lucchini S
%A Govetto A
%A Carini E
%A Casalino G
%A Donati S
%A Radice P
%J Eur J Ophthalmol
%V 33
%N 6
%D Nov 2023 14
%M 36517983
%F 1.922
%R 10.1177/11206721221145212
%X <B>OBJECTIVE: </B>To report a case of presumed sympathetic ophthalmia (SO) following scleral buckling (SB) surgery and to discuss the possible pathogenesis of this condition by reviewing the current evidence on this subject.<BR><B>METHODS: </B>Case report and narrative review of the literature; our case was imaged with spectral-domain optical coherence tomography (SD-OCT) and optical coherence tomography angiography (OCTA), fundus autofluorescence (FAF), fluorescein angiography (FFA) and indocyanine green angiography (ICGA).<BR><B>RESULTS: </B>A 55-year-old man presented with a macula on rhegmatogenous retinal detachment which was treated with 360° SB surgery, subretinal fluid drain (SRFD), cryopexy and pneumoretinopexy. Due to failure of the primary surgery, a second procedure was performed the day after with the explant of the prior buckle and the implant of a wider circumferential element. At three months from surgery, the patient complained of severe bilateral vision loss. Multimodal imaging revealed bilateral, multi-focal exudative retinal detachments and choroidal swelling. A diagnosis of presumed SO was made and the patient was treated with a combination of steroid and immunosuppressive drugs. The clinical picture completely resolved at postoperative month 12.<BR><B>CONCLUSIONS: </B>SO may be a rare complication of SB surgery. In our case, early recognition and prompt immunosuppressive treatment achieved good long-term clinical results.