Sympathetic ophthalmia after penetrating keratoplasty: a case report evaluated by spectral-domain optical coherence tomography.

BACKGROUND: Sympathetic ophthalmia is a rare, bilateral, diffuse granulomatous uveitis that usually occurs after open globe injury or intraocular surgery. To our knowledge, findings of this condition using spectral-domain optical coherence tomography have not been previously described. METHODS: Case report. RESULTS: A case of sympathetic uveitis after a tectonic corneal-scleral keratoplasty because of a fungal keratitis is reported. Spectral-domain optical coherence tomographic images revealed a multilobular serous retinal detachment in the sympathizing eye. The subretinal space was divided by thin septa into compartments filled with subretinal fluid and some high reflective compounds. CONCLUSION: Spectral-domain optical coherence tomographic imaging noninvasively demonstrated a multilobular serous retinal detachment in the sympathizing eye, sharing the same features previously reported in patients with Vogt-Koyanagi-Harada syndrome.