Sympathetic ophthalmitis with predominant posterior segment involvement.

We report a case of a 22-year-old obese man, intellectually disabled since birth, who developed sympathetic ophthalmitis in his right eye (RE) 2 months after a penetrating injury to his left eye; this despite primary repair went into phthisis with no perception of light. Initially the patient presented with features of anterior uveitis in the RE, for which oral and topical steroids were prescribed. The patient failed to keep regular follow-up appointments, and returned 2 months later with exudative retinal detachment, and was placed on steroids and immunosuppressives. The visual acuity of the RE on discharge was 6/60 with -0.5×180. 2014 BMJ Publishing Group Ltd.