1. History
  2. Exam
  3. Photos
  4. Diagnosis
  5. Teaching Points

Case 107 Diagnosis

Sympathetic ophthalmia

Differential Diagnosis

  • Vogt-Koyanagi-Harada syndrome: no history of penetrating trauma; includes symptoms of meningitis, vitiligo, poliosis, and alopecia; more common in Native Americans and Asians
  • Syphilis: laboratory evaluation diagnostic
  • Posttraumatic endophthalmitis: rapidly increasing inflammation usually within days of injury
  • Reactivation of pre-existing uveitis following trauma: history of uveitis
  • Phacoanaphylaxis: traumatic or surgical disruption of lens resulting in intense inflammation; frequently unilateral, if bilateral, the initially involved eye is typically quiet at the time of involvement of the second eye
Last Modified: Tuesday, 27-May-2008 14:56:48 EDT