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Letter to the Editor
Sympathetic ophthalmia from inadvertent ocular perforation during conventional retinal detachment surgery
  1. CHRISTOPHER LYONS,
  2. STEPHEN TUFT,
  3. SUSAN LIGHTMAN
  1. The Uveitis Clinic, Moorfields Eye Hospital
  2. City Road, London EC1V 2PD
  1. S Tuft.

https://doi.org/10.1136/bjo.81.7.e608

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    Editor,—Sympathetic ophthalmia is a rare complication of intraocular surgery. We report a patient in whom inadvertent scleral perforation at the time of buckle placement was complicated by sympathetic ophthalmia.

    CASE REPORT

    A 58-year-old myope with a 4 day history of floaters in the right eye was found on examination to have a temporal retinal detachment involving the macula. The visual acuity at presentation was 6/24 R and 6/6 L. There was no history of ocular trauma or inflammation. A superotemporal retinal tear was identified and, since this was very peripheral, non-drainage surgery was planned. Cryotherapy was applied and a 5 mm radial sponge, positioned under the tear, was secured with two 5/0 Ethibond sutures.

    The globe was inadvertently perforated with the posterior suture, resulting in subretinal fluid drainage. At the end …

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