Sympathetic ophthalmia (SO) is a rare and dreaded complication of accidental or surgical trauma and results in diffuse granulomatous panuveitis in both the injured (inciting) and contralateral (sympathizing) eye.1 Although the diagnosis of SO is made clinically and supported through histopathologic findings, multimodal imaging has been described to help support the diagnosis after disease onset.2–6 To the author's knowledge, our case is the first in which spectral-domain optical coherence tomography (OCT) was used to diagnose early SO in an otherwise asymptomatic patient.
Sympathetic ophthalmia (SO) is a rare and dreaded complication of accidental or surgical trauma and results in diffuse granulomatous panuveitis in both the injured (inciting) and contralateral (sympathizing) eye.1 Although the diagnosis of SO is made clinically and supported through histopathologic findings, multimodal imaging has been described to help support the diagnosis after disease onset.2–6 To the author's knowledge, our case is the first in which spectral-domain optical coherence tomography (OCT) was used to diagnose early SO in an otherwise asymptomatic patient.