Uvea · NEET PG Preparation Ophthalmology

A 40-year-old man who suffered a penetrating trauma to his left eye 3 months ago now presents with decreased vision, pain, and photophobia in the uni…

Practice question from Uvea (NEET PG Preparation Ophthalmology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-7D8237

A 40-year-old man who suffered a penetrating trauma to his left eye 3 months ago now presents with decreased vision, pain, and photophobia in the uninjured right eye. Examination reveals bilateral granulomatous panuveitis with Dalen-Fuchs nodules. What is the diagnosis for the condition affecting the right eye?

  1. A.Phacoanaphylactic endophthalmitis
  2. B.Sympathetic ophthalmiaCorrect answer
  3. C.Vogt-Koyanagi-Harada syndrome
  4. D.Glaucomatocyclitic crisis

Solution

Sympathetic ophthalmia is a bilateral granulomatous panuveitis that occurs following a penetrating ocular trauma or surgery to one eye (exciting eye), leading to inflammation in the fellow uninjured eye (sympathetic eye). Dalen-Fuchs nodules (granulomas between the retinal pigment epithelium and Bruch's membrane) are a classic histopathological feature.

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