Sympathetic Ophthalmia: Immunopathological Findings

Chi Chao Chan, Robert B. Nussenblatt, Leslie S. Fujikawa, Alan G. Palestine, Garth Stevens, Leonard M. Parver, Martha W. Luckenbach, Toichiro Kuwabara

Research output: Contribution to journalArticlepeer-review

Abstract

Ocular tissue from six patients with a clinical diagnosis of sympathetic ophthalmia (SO) was examined using immunohistochemical techniques. All patients presented with a history of bilateral panuveitis after penetrating ocular injury or multiple intraocular surgeries and clinical features of SO. In four cases, classic histopathological features of SO were observed, including granulomatous uveal tract infiltration and subretinal pigment epithelium (RPE) collections of inflammatory cells (Dalen-Fuchs nodules). Bone marrow derived monocytes were the major cellular components in these granulomas. In two cases, histopathology failed to demonstrate typical Dalen-Fuchs nodules or granulomas in the choroid. However, the choroidal infiltrates were composed primarily of T-helper and B lymphocytes, without macrophages or epithelioid cells. The eyes examined in this report indicate that a varied spectrum of immunopathological and histopathological findings may occur in clinically diagnosed SO.

Original languageEnglish (US)
Pages (from-to)690-695
Number of pages6
JournalOphthalmology
Volume93
Issue number5
DOIs
StatePublished - Jan 1 1986

Keywords

  • Dalen-Fuchs nodule
  • choroidal granuloma
  • immunohistochemistry
  • monoclonal antibodies
  • sympathetic ophthalmia

ASJC Scopus subject areas

  • Ophthalmology

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