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Letter
Penetrating ocular injuries in previously injured blind eyes: should we consider primary enucleation?
  1. D A Hollander,
  2. B H Jeng,
  3. J M Stewart
  1. Department of Ophthalmology, Francis I Proctor Foundation, University of California San Francisco, San Francisco, CA, USA
  1. Correspondence to: Jay M Stewart Doheny Retina Institute, University of Southern California, 1450 San Pablo Street, Suite 3600, Los Angeles, CA 90030, USA; ne62yahoo.com

https://doi.org/10.1136/bjo.2003.027508

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    We read with great interest the paper by Kilmartin et al1 in which the authors noted that most of the newly diagnosed cases of sympathetic ophthalmia (SO) in their prospective study occurred in eyes that had sustained multiple injuries, either via trauma or intraocular surgery, and that enucleation following the onset of SO in these eyes was not related to a better visual outcome in the fellow eye. We have recently encountered two cases of ocular trauma in which, with the aforementioned two points in mind, we found it reasonable to consider and offer primary enucleation in an attempt to decrease the risk of SO.

    The first case was a 46 year old man who had suffered a previous penetrating injury to his left eye as a child and now presented with …

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